When A Work Activity Report Is Needed

After a disability claim is filed Social Security is likely to send the claimant several different forms to complete. Most people will receive both a function report and a work history report. The function report will ask the claimant about daily activities and what limitations they might have in completing those activities due to their impairments. The work history report will ask the claimant about past work, typically Social Security would like to know about the most recent 15 years of work and the work history report will ask about job duties and responsibilities. Not to be confused with the work history report is the work activity report. This report is sent to some claimants who may have some work earnings that may not be explained well enough through Social Security records and need more clarification. Below is an example of the kind of information Social Security is seeking with the work activity report.

We are writing to you to because we need to know more about your work. Please tell us about your work. We will use this information to decide if you can receive or continue to receive disability benefits.

What You Need To Do

Please complete and return the completed form within 15 days to the address show above. It is important to fill out the form carefully and completely. Remember to sign and date the form. If you do not return this form, we may contact your employer to make our determination based on the evidence we have in our records.

Some Information To Help You Complete This Form

Our records show these employers and yearly earnings for you. This list may not be complete. It may not show your work for this year or last year. You should add any additions information as you complete the form.

All claimants who receive this form should complete it and return in a timely manner. Those who ignore the report will likely see a denial letter on their claim if they fail to complete the form.