These are scanned images. If you have accessibility issues, please contact us at firstname.lastname@example.org.
THIS SAMPLE PACKET IS FOR A FICTIONAL APPLICANT NAMED "ANNETTE FARNSWORTH," AND IS PROVIDED FOR INFORMATIONAL PURPOSES ONLY. THESE FORMS ARE NOT TO BE USED FOR THE SOAR ONLINE COURSE PRACTICE CASE.
Sample Completed SOAR Application Packet for an Initial Claim (Updated 10/04/19)
- SOAR Checklist for Initial Claims
- SSA-8000: SSI Application
- SSA-827: Authorization to Disclose Information
- SSA-1696: Appointment of Representative
- SSA-3368: Disability Report
- SSA-16: SSDI Application
- Medical Summary Report