article Sample SOAR Application Packet - Adult
Published: September 18, 2026
Sample Completed SOAR Application Packets
These sample packets are for a fictional applicant named "Annette Farnsworth," and are provided for informational purposes only.
Initial Claim
- Annette's Case Worker - Harriet Jones - Sample SSA-1699 (.pdf) [210.39 KB]
- SSA-3288: Consent for Release of Information (.pdf) [93.3 KB]
- SSA-827: Authorization to Disclose Information (.pdf) [616.44 KB]
- SSA-3368: Disability Report (.pdf) [493.24 KB]
- SSA-16: SSDI Application (.pdf) [199.91 KB]
- SOAR Checklist for Initial Claims (.pdf) [126.07 KB]
- SSA-1696: Appointment of Representative (.pdf) [404.33 KB]
- SSA-8000: SSI Application (.pdf) [1.4 MB]
- Medical Summary Report (.pdf) [133.32 KB]
Appeal Forms
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Classification
- Focus
- Age: Adults
- Topic
- Benefits Access & Coordination: SSI/SSDI Applications and Appeals, SSI/SSDI Outreach, Access, and Recovery (SOAR)
- Language
- English