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Disability Report, Child

The information collected on the SSA-3820 is used by the State Disability Determination Services (DDS) evaluator to develop medical evidence and to assess the alleged disability. The information, together with medical evidence, forms the evidentiary basis upon which the initial disability evaluation process is founded.
Form #: SSA 3820 BK
Agency: Social Security Administration
Type: Both Form and Instructions
Capability: [2] Printable Only
Format: pdf
What's Needed: Adobe Reader  Download