article SSA-3369: Work History Report
Published: September 18, 2026
About the Work History Report
DDS uses the Work History Report (SSA-3369) when additional information is needed to determine if the applicant is able to perform past relevant work or other work. This detailed report supplements information provided in the Adult Disability Report (SSA-3368) about the applicant’s past five jobs, and helps DDS see what types of work skills the applicant may possess.
When is it required?
DDS requires the completion of the SSA-3369 when they reach Step 4 of the Sequential Evaluation and there is not enough information provided in the Adult Disability Report (SSA-3368) to determine whether the person’s impairments are keeping them from being able to perform past relevant work or other work. SSA recently updated its definition of past relevant work to reduce it from 15 years to 5 years. Work that lasted less than 30 calendar days and was not at a substantial gainful level will not count as past relevant work.
- The DDS Examiner will contact the SOAR representative when this form is required as part of the application.
Completing the SSA-3369
The SSA-3369 provides space to list all the jobs the claimant had in the 5 years before becoming unable to work because of their llnesses, injuries, or conditions. It also provides space for the dates worked (month and year).
Pages 2-7 contain identical subsections, which ask for information about:
- the rate of pay and hours of work per day and per week
- the use of machines, tools or other equipment
- amount of bending, sitting, walking, or related activity
- whether the claimant had to do any writing
- basic job duties
- other descriptive data providing a complete picture of the nature and duties of the job performed
SOAR Tip: If the applicant does not remember all the details of their past work, enter “I don’t know” or “unknown” and explain any difficulties with memory in the Remarks section. It is important to not leave questions unanswered.
Provide additional details or jobs held in the Remarks section. Be sure to indicate that you helped complete the form and add that this is a SOAR application.
Key Questions to Ask
Ask these questions for each job, including any supported employment.
- When did you work there? What did you do?
- How long did you work there?
- What did you like or dislike about working there?
- What were your relationships like with your co-workers? Supervisors?
- Did you have any difficulties completing tasks or working with others?
- What made you leave the position?
Submitting the SSA-3369
Fax the form back to the DDS examiner using the provided barcoded cover sheet.
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Classification
- Topic
- Benefits Access & Coordination: SSI/SSDI Applications and Appeals, SSI/SSDI Outreach, Access, and Recovery (SOAR)
- Language
- English