Social Security Attorneys  

Schneider, Kerr & Robichaux  

Call Today: 50​3.255.9092     1.800.630.4SSD

Seek Treatment

Claimant's Medications Form
Claimant's Recent Medical Treatment Form

Medical and Job Worksheet

Track Your Symptoms

Migraine Tracker Form

Seizure Tracker Form

Bowel Movement Tracker Form

Chronic Pain Tracker Form

Find a PDF Tracker Form

Tracking APPS for your phone:

(You can also try searching symptom or pain trackers online, please be sure to select one that will allow you to export files or print out paper reports.)

Chronic Pain Tracker (also tracks other symptoms)

Symple App

mySymptoms

Reports

Function Report Form

Third Party Function Report Form

Work History Report
Work Activity Report Form - for Self Employment
Work Activity Report Form - for Employee

Employment Information

Employer Questionnaire Form

​Claimant's Work Background

Work Activity Report Form​

Overpayment Waiver

Overpayment Waiver Form

Authorization to Disclose Information to the SSA

Authorization to Disclose Information to the SSA Form

Appeals Forms

Application to proceed in forma pauperis (OR)

Application to proceed in forma pauperis (WA)

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Treasury Release Form

Travel Reimbursement

Travel Reimbursement Form