Disability Benefits Templates

This document is a checklist used in Ohio to assess disabilities and determine eligibility for benefits and services.

This document is a Tuberculosis Disability Benefits Questionnaire used by the Department of Veterans Affairs (VA). It is used to evaluate claims for disability benefits related to tuberculosis.

This is a form that is used by disabled people who are applying to receive Social Security benefits.

This Form is used for disability assessment in Washington state.

This Form is used for a disability review in Washington for individuals of Cambodian descent.

This Form is used for requesting discretionary over 7/10 disability benefits in the state of Washington.

This Form is used for applying for Supplemental Security Income (SSI) benefits in the state of Washington.

This form is mailed to a disabled beneficiary or their representative by the Social Security Administration (SSA) to update their information including information about the treatment they received in the past two years.

This form is used for reporting updates to your disability status to the Social Security Administration.

Download this form if you wish to make an online appeal of a Social Security Administration (SSA) decision regarding your benefit request.

Use this form to contest a decision regarding disability benefits by providing new information on your or the claimant's impairment.

This is a state of California form to request, by mail, worker-funded benefits to eligible workers who have a full or partial loss of wages due to disabilities that are not work-related.

This form is used for applying for Emergency Aid to the Elderly, Disabled and Children Disability Supplement in the state of Massachusetts.

This Form is used for requesting a disability review in the state of Washington through the Washington State Department of Social and Health Services (DSHS).

This Form is used for providing employer identification information in accordance with New York's Disability Benefits Law.

This form is used for employers in New York to apply for voluntary disability and paid family leave coverage for employees who are not required by law to have these benefits. The application requires an employee contribution.

This legal document used to apply for disability benefits through the Supplemental Security Income program.

This form is used for applying for benefits in Texas for people who are aged 65 and older or people with disabilities.

This form is used for gathering information about the socio-economic situation of individuals applying for disability benefits in the state of Texas.

This form is used for releasing medical information and determining disability in the state of Texas.