Form SSA-16, Application for Disability Benefits, is a form used to apply for Social Security Disability Benefits.
The Application for Disability Benefits should be completed and submitted by a person who is considered disabled under Social Security rules. It is a person who is not able to do work that they did before and to adjust to another work because of their illnesses or injuries. At the same time, the current or expected disability should last for at least one year. The Social Security Administration (SSA) only pays for total disability (partial or short-term disability are not covered). To qualify for Disability Benefits, the applicant must have worked long enough and recently enough in jobs covered by Social Security as well.
This form was released by the SSA with the latest version issued in June 2018. A fillable Disability Benefits Application is available for download below.