article Sample SOAR Application Packet - Child
Published: September 18, 2026
This sample packet is for a fictional child applicant named "Annie Farnsworth," and is provided for informational purposes only.
Sample Completed SOAR Application Packet for an Initial Claim
- SOAR Checklist for Initial Claims (.pdf) [131.71 KB]
- SSA-827: Authorization to Disclose Information (.pdf) [1.18 MB]
- SSA-1696: Appointment of Representative (.pdf) [399.99 KB]
- SSA-8000: SSI Application (.pdf) [1.38 MB]
- SSA-3820: Child Disability Report (.pdf) [346.56 KB]
- SSA-3378: Child Function Report, Age 6 to 12th Birthday (.pdf) [650.87 KB]
- SSA-5665: Teacher Questionnaire (.pdf) [849.8 KB]
- Medical Summary Report (.pdf) [184.56 KB]
Sample Completed Appeal Forms
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Classification
- Focus
- Age: Children
- Topic
- Benefits Access & Coordination: SSI/SSDI Applications and Appeals, SSI/SSDI Outreach, Access, and Recovery (SOAR)
- Language
- English