Jump to Navigation

How to complete the state agency questionnaires

After your application is submitted to Social Security, they will send your file to a state disability determination agency. It will be assigned to a disability claims adjudicator. That person will be in touch with you by mail and often by telephone as well. The adjudicator will send you one or more sets of additional forms to complete. Those forms are usually called a Daily Activities Questionnaire or an Adult Function Report. The answers that you give on those additional forms can play a large role in determining whether your claim will be approved or denied. Prepare answers to those forms very carefully. Describe your abilities and activities realistically, not the way you wish they would be or the way they used to be.

We help our clients prepare those state agency forms and review them carefully before they are submitted to the state agency. Your chances of a successful result are greater if you have an attorney review those forms before you submit them to the state agency.

Do I Have a Case? Fill Out the Free Case Evaluation Form

Bold labels are required.

Contact Information
disclaimer.

The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.

close
Contact Information Two Convenient Office Locations

Disability Benefits Law Center, P.C.
610 Old York Road, Suite 210
Jenkintown, PA 19046
Phone: 267-622-4475
Toll Free: 866-498-9387
Fax: 215-886-7848
Map and Directions

Philadelphia office
1617 J.F.K. Blvd., Suite 1500
Philadelphia, PA 19103
Phone: 267-622-4475
Toll Free: 866-498-9387
Fax: 215-886-7848
Map and Directions

Disability Benefits Law Center 

Call Today for a Free Initial Consultation 

267-622-4475  866-498-9387 Read Articles & Resources