SSA-3368 Disability Report Adult — Free Download + Completion Guide
Download Form SSA-3368 (Disability Report – Adult) — the core SSDI application form. Includes tips on how to fill it out correctly to maximize your chances of approval. Free legal review.
3/8/2026 | 1 min read
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📄 SSA-3368 — Disability Report – Adult
Official Social Security Administration form — always free.
⬇ Download SSA-3368 PDFForm SSA-3368 (Disability Report – Adult) is the primary medical questionnaire for Social Security Disability Insurance (SSDI) and SSI applications. It asks detailed questions about your medical conditions, treatment history, and how your disability prevents you from working.
What SSA-3368 Covers
- Your medical conditions and how they limit you
- All doctors, hospitals, and clinics that have treated you
- Medications and treatments
- Work history for the past 15 years
- Education and vocational training
How to Get the Best Result
- List every medical provider — even ones you saw years ago
- Describe how your condition affects your ability to work in concrete terms
- Include mental health conditions alongside physical conditions
- Don't minimize your symptoms
Important: Form SSA-3368 is submitted with your initial SSDI application. Getting it right the first time dramatically increases your chances of approval without needing to appeal.
First-time SSDI applicant? Let Louis Law Group review your application before you submit — for free.
Related SSA Forms You May Need
Frequently Asked Questions
What is the SSA-3368 Disability Report?
The SSA-3368 is the core disability report form used in SSDI and SSI applications. It collects information about your medical conditions, treatments, medications, work history, and daily limitations.
What information do I need to fill out the SSA-3368?
You'll need: names and contact information for all treating doctors and hospitals, dates of medical visits, a complete list of medications with dosages, work history for the past 15 years, and a description of how conditions limit your ability to work.
How detailed should my answers be on the SSA-3368?
Very detailed. Instead of 'back pain,' describe it as 'chronic lower back pain that prevents sitting for more than 20 minutes and requires lying down 3-4 times per day.' Specific, measurable descriptions are far more persuasive.
Can mistakes on the SSA-3368 cause my SSDI claim to be denied?
Yes. Common mistakes include listing incomplete medical provider information, understating symptoms, inconsistencies with medical records, and failing to describe how conditions affect work capacity.
What is the difference between the SSA-3368 and SSA-3373?
The SSA-3368 focuses on medical conditions, treatments, and work history. The SSA-3373 (Function Report) focuses on how disability affects daily activities. Both are typically required during SSDI evaluation.
Sources & References
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