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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: Child Curriculum practice case.
Sample Completed SOAR Application Packet for an Initial Claim (Updated 3/2020)
- SOAR Checklist for Initial Claims (DOCX)
- SSA-8000: SSI Application (PDF)
- SSA-827: Authorization to Disclose Information (PDF)
- SSA-1696: Appointment of Representative (1/7/21) (PDF)
- SSA-3368: Disability Report (1/7/21) (PDF)
- SSA-16: SSDI Application (PDF)
- Medical Summary Report (PDF)