Electronic Worksheet

When applying for Social Security Disability (SSD), adults over 18 that are currently working or have previous work experience need to complete the Medical and Job Worksheet. The form can be downloaded from the Social Security Administration’s (SSA) website to fill out when applying in person at a Social Security office. The Electronic Worksheet is the same form that can be submitted online in the electronic application.

The Electronic Worksheet asks for information about the medical conditions that limit your ability to work, physical characteristics, medical personnel you’ve been treated by, medicine you’ve been proscribed, medical testing results, your work history, including dates and salaries, and the date you stopped working.

Before filling out the Electronic Worksheet, you must answer initial questions about your disability and whether or not you have completed applications with the SSA in the past. In some cases, you may not be able to submit the Electronic Worksheet online. For example, if you applied for SSD and were denied within in the last 60 days, you are unable to reapply or submit the worksheet.

Filing out the Electronic Worksheet online, as well as the rest of the application, can make the application process quicker and easier. You can’t mail in the Medical and Job Worksheet, so you would have to wait for an appointment at an SSA office.

You can access this Worksheet on the SSA’s website in the online disability application. If you have any questions, you can call the SSA at 1-800-772-1213.