Tips for completing the Work History Report (SSA 3369-BK)
As part of SSA’s disability determination process, SSA will evaluate an individual’s (Claimant) work history to determine whether a Claimant can return to a Claimant’s past work or has skills that are transferrable to other work.
How do I list each job title and type of business?For each job held should be listed in chronological order with the most recent Job Title/Type of Business first.
Does SSA want to know when I held a certain job?For each job held, you should be specific regarding the month, date and year when the job began and when the job ended.
What should I include in describing my job duties?For each Job Title, the Claimant should provide specific and detailed information as to what job duties were performed, what type of machines were used (e.g., injection mold, computer, ink press), examples of what was lifted/carried, the heaviest weight lifted, how much standing/walking was required, etc. In summary, the form should be filled out as if the form was a resume/application to a prospective employer. The goal is to provide sufficient information to SSA so SSA can properly assess the Claimant's past work.
What to do if I can't recall my job duties?A Claimant should not guess, minimize or exaggerate answers. If a Claimant cannot recall the particulars of how a job was performed, the Claimant should contact the Claimant's former employer and obtain a job description including but not limited to the exertional demands of the job (e.g., lifting frequently and occasionally) and posture requirements (e.g., sitting / standing / bending / squatting).