Sample SOAR Application Packet - Adult

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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 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 (revised 02/28/20) (PDF)
• SSA-3368: Disability Report (PDF)
• SSA-16: SSDI Application (PDF)
• Medical Summary Report (PDF)

Sample Completed Appeal Forms (Updated 3/2020)

• SSA-561: Request for Reconsideration (PDF)
• HA-501: Request for Hearing by Administrative Law Judge (PDF)
• SSA-3441: Disability Report - Appeal (PDF)
• SSA-827: Authorization to Disclose Information (PDF)
• SSA-3288: Consent for Release of Information (PDF)