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CMS-40B Application for Enrollment in Medicare - Part B (Medical Insurance)
CMS-L564 Request for Employment Information
HA-501-U5 Request for Hearing by Administrative Law Judge
HA-520-U5 Request for Review of Hearing Decision/Order
HA-539 Notice Regarding Substitution of Party Upon Death of Claimant
HA-4608 Waiver of Your Right to Personal Appearance Before an Administrative Law Judge
HA-4631 Claimant's Recent Medical Treatment
HA-4632 Claimant's Medications
HA-4633 Claimant's Work Background
IRS SS-4 Application for Employer Identification Number Social Security Disability Benefits Sacramento
IRS W-4V Voluntary Withholding Request Social Security Law Firm Sacramento
Online Adult Disability Report
Online Appeal a Recent Medical Decision
Online Apply for Disability Benefits
Online Apply for Retirement, Spouse's or Medicare Benefits
Online Apply Online for Extra Help with Medicare Prescription Drug Plan Costs
Online Change Address or Telephone Number
Online Get a Replacement Medicare Card
Online Representative Payee Accounting Report
Online Request a Form SSA-1099/1042 (Benefit Statement) for tax or other purposes
Online Request a Proof of Social Security Benefits Letter
Online Request Special Notices for the Blind or Visually Impaired
Online Sign Up For or Change Direct Deposit
SF-1199A Direct Deposit Sign-Up Form
SSA-1-BK Application for Retirement Insurance Benefits Disability Attorneys Sacramento
SSA-2-BK Application for Wife's or Husband's Insurance Benefits Disability Lawyers Sacramento
SSA-5-BK Application for Mother's or Father's Insurance Benefits SSDI Benefits Sacramento
SSA-5-INST Reporting Responsibilities for Mother's or Father's Insurance Benefits Social Security Disability Attorneys Modesto
SSA-7-F6 Application for Parent's Insurance Benefits Social Security Disability Lawyers Modesto
SSA-8 Application for Lump-Sum Death Payment Social Security Lawyers Modesto
SSA-10 Application for Widow's or Widower's Insurance Benefits Social Security Attorney Modesto
SSA-10-INST Reporting Responsibilities for Widow's or Widower's Insurance Benefits Social Security Disability Application Modesto
SSA-16-BK Application for Disability Insurance Benefits Social Security Disability Benefits Modesto
SSA-16-BK-SP Solicitud para beneficios de seguro por incapacidad Social Security Law Firm Modesto
SSA-16-INST Reporting Responsibilities For Disability Insurance Benefits Disability Attorneys Modesto
SSA-24 Application for Survivors Benefits (Payable Under Title II of the Social Security Act) Disability Lawyers Modesto
SSA-44 Medicare Income-Related Monthly Adjustment Amount - Life-Changing Event SSDI Benefits Modesto
SSA-89 Authorization for the Social Security Administration To Release Social Security Number (SSN) Verification Social Security Disability Attorneys Stockton
SSA-89-SP Autorización para que la Administración de Seguro Social Divulgue la Verificación de un Número de Seguro Social (SSN) Social Security Disability Lawyers Stockton
SSA-308 Modified Benefits Formula Questionnaire, Foreign Pension Social Security Lawyers Stockton
SSA-437-BK Complaint Form for Allegations of Discrimination in Programs or Activities Conducted by the Social Security Administration Social Security Attorney Stockton
SSA-437-BK-SP Formulario Para Querellas De Alegaciones De Discriminación En Los Programas De La Administración Del Seguro Social Social Security Disability Application Stockton
SSA-521 Request for Withdrawal of Application Social Security Disability Benefits Stockton
SSA-546 Worker's Compensation/Public Disability Questionnaire Social Security Law Firm Stockton
SSA-561-U2 Request for Reconsideration
SSA-623-F6 Representative Payee Report Not available online -contact your local Social Security office
SSA-671 Railroad Employment Questionnaire Disability Attorneys Stockton
SSA-781 Certificate of Responsibility for Welfare and Care of Child Disability Lawyers Stockton
SSA-789-U4 Request for Reconsideration - Disability Cessation SSDI Benefits Stockton
SSA-795 Statement of Claimant or Other Persons Social Security Disability Attorneys San Jose
SSA-820-BK Work Activity Report (Self-Employed Person) Social Security Disability Lawyers San Jose
SSA-821-BK Work Activity Report Social Security Lawyers San Jose
SSA-827 Authorization to Disclose Information to the Social Security Administration Social Security Attorney San Jose
SSA-1020-INST General Instructions for Completing the Application for Extra Help with Medicare Prescription Drug Plan Costs Social Security Disability Application San Jose
SSA-1020B-INST General Instructions for Completing the Application for Extra Help with Medicare Prescription Drug Plan Costs Social Security Disability Benefits San Jose
SSA-1020B-INST-SP Instrucciones generales para llenar la Solicitud para el Benefi cio Adicional con los gastos del plan de medicamentos recetados de Medicare Social Security Law Firm San Jose
SSA-1021 Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs Disability Attorneys San Jose
SSA-1021-SP Apelación de la determinación para recibir el Beneficio Adicional con los gastos del plan de medicamentos recetados de Medicare Disability Lawyers San Jose
SSA-1021-INST Instructions for Completing the Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs SSDI Benefits San Jose
SSA-1021-INST-SP Instrucciones para llenar la apelación de la determinación para recibir el beneficio adicional con los gastos del plan de medicamentos recetados de Medicare Social Security Disability Attorneys
SSA-1026B-OCR-SM-INST Review of your Eligibility for Extra Help Social Security Disability Lawyers
SSA-1026B-OCR-SM-INST-SP Revisión sobre su derecho a recibir el Beneficio Adicional Social Security Lawyers
SSA-1560-U4 Petition to Obtain Approval of a Fee For Representing a Claimant Before the Social Security Administration
SSA-1694 Request for Business Entity Taxpayer Information Social Security Attorney
SSA-1695-F3 Identifying Information for Possible Direct Payment of Authorized Fees Social Security Disability Application
SSA-1696-U4 Appointment of Representative
SSA-1724-F4 Claim for Amounts due in case of a Deceased Beneficiary
SSA-1945 Statement Concerning Your Employment in a Job Not Covered by Social Security Social Security Disability Benefits
SSA-2000-F6 Application for Special Benefits for World War II Veterans Social Security Law Firm
SSA-2032-BK Request for Waiver of Special Veterans Benefits (SVB) Overpayment Recovery or Change in Repayment Rate Disability Attorneys
SSA-2512 Pre-1957 Military Service Federal Benefit Questionnaire Disability Lawyers
SSA-2519 Child Relationship Statement SSDI Benefits
SSA-3033 Employee Work Activity Questionnaire Social Security Disability Attorneys Sacramento
SSA-3105 Important information about your appeal, waiver rights, and repayment options Social Security Disability Lawyers Stockton
SSA-3288 Consent for Release of Information Social Security Lawyers Modesto
SSA-3288-SP Consentimiento para divulgar información Social Security Attorney San Jose
SSA-3368-BK Disability Report - Adult Social Security Disability Application Sacramento
SSA-3369-BK Work History Report Social Security Disability Benefits Stockton
SSA-3373-BK Function Report - Adult Social Security Law Firm Modesto
SSA-3380-BK Function Report - Adult - Third Party Form Disability Attorneys San Jose
SSA-3381 Medical and Job Worksheet - Adult Disability Lawyers Sacramento
SSA-3441-BK Disability Report - Appeal
SSA-3885 Government Pension Questionnaire SSDI Benefits Stockton
SSA-4111 Certification of Election for Reduced Widow(er)'s and Surviving Divorced Spouse's Benefits Social Security Disability Attorneys Modesto
SSA-5665-BK Teacher Questionnaire Social Security Disability Lawyers San Jose
SSA-5666 Request for Administrative Information Social Security Lawyers Sacramento
SSA-7008 Request for Correction of Earnings Record Social Security Attorney Stockton
SSA-7050-F4 Request for Social Security Earnings Information
SSA-7104 Partnership Questionnaire Social Security Disability Application Modesto
SSA-7163 Questionnaire about Employment or Self Employment Social Security Disability Benefits San Jose





To see detail information on how to apply for Social Security Disability Benefits in the City of Stockton, Modesto, San Jose and Sacramento, please click on the links above.

Sacramento Area
Get Directions

5230 Folsom Boulevard
Sacramento, CA 95819
Phone: (916) 455-4800
Fax: (916) 451-5687


Stockton & Modesto Area
Get Directions

Sherwood Executive Center
5250 Claremont Avenue
Stockton, CA 95207
Phone: (209) 473-4800
Fax: (209) 478-5443

Oakland Area
Get Directions

1300 Clay Street, Ste 600
Oakland, CA 94612
Phone: (510) 663-4600
Fax: (510) 663-4660


San Jose & Fremont Area
Get Directions

3900 Newpark Mall Rd., 3rd Floor
Newark, CA 94560
Phone: (877) 876-4800
Fax: (510) 663-4660
Reno Area
Get Directions

Wells Fargo Building
200 S. Virginia St. 8th floor
Reno, NV 89501
Phone: (775) 786-1020
Fax: (775) 786-1026










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877-751-5897 Fax


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