SSA Adult Starter Kit

We are not the Social Security Administration. We are only advocates to help you.

This free kit shows you what to gather. Fill out the short form, and we will email you the next step.

For Texas families only, please.

What to gather before you apply:

Birth certificate (proof of age) and Social Security card
Doctors, hospitals, and clinics — names, addresses, phone numbers, and dates you went
A list of your medicines and who gave them to you
Medical records and test results you already have
The jobs you did in the last 15 years
Name and phone of a person who knows about your health

About You

Your full name *

Phone *

Email *

Fill this part out if the Social Security Administration help is for you, or for your young adult 18 or older.

Your full name

Your date of birth

What is your disability or health condition? (in your own words)

Has a doctor diagnosed it? When did it begin?

Doctors, specialists, or therapists you see (names are fine)

Hospital, emergency room, or therapy treatment in the last 12 months?

Medications you take now

How does it limit you — sitting, standing, walking, lifting, concentrating, remembering, getting along with others, or taking care of yourself?

Are you working now? If yes, what job, and about how much do you earn a month?

When did you last work? What jobs have you done?

Highest grade you finished in school?

Did you have a 504 plan in school?

Have you applied for SSI or SSDI before?

Did your disability begin before age 22?

Is a parent retired, disabled, or deceased — or getting Social Security?

Are you married now?

Who do you live with? Who pays for rent and food?

About how much money comes into your home each month?

About how much money do you have in the bank?

Are you getting Medicaid, SNAP, or any other benefits now?

Are you a U.S. citizen?

What is your biggest concern right now?

Please check: * The information above is correct, as far as I know.

Your answers go to southernoakfw@gmail.com. We will email you the next step. We do not sell or share your information.