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Form SSA-4734-BK Physical Residual Functional Capacity Assessment
What Is Form SSA-4734-BK?
This is a legal form that was released by the U.S. Social Security Administration on August 1, 2017 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form SSA-4734-BK?
A: Form SSA-4734-BK is the Physical Residual Functional Capacity (RFC) Assessment form used by the Social Security Administration.
Q: What is the purpose of Form SSA-4734-BK?
A: The purpose of Form SSA-4734-BK is to assess an individual's physical abilities and limitations in order to determine their eligibility for disability benefits.
Q: Who completes Form SSA-4734-BK?
A: Form SSA-4734-BK is typically completed by a medical professional or healthcare provider who has assessed the individual's physical condition.
Q: What information is included in Form SSA-4734-BK?
A: Form SSA-4734-BK includes information about the individual's medical history, physical impairments, and their ability to perform various physical activities.
Q: How is Form SSA-4734-BK used?
A: Form SSA-4734-BK is used by the Social Security Administration to evaluate an individual's physical RFC and determine if they meet the criteria for disability benefits.
Q: Can individuals complete Form SSA-4734-BK themselves?
A: No, Form SSA-4734-BK must be completed by a medical professional or healthcare provider who has assessed the individual's physical condition.
Form Details:
- Released on August 1, 2017;
- The latest available edition released by the U.S. Social Security Administration;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form SSA-4734-BK by clicking the link below or browse more documents and templates provided by the U.S. Social Security Administration.
Download Form SSA-4734-BK Physical Residual Functional Capacity Assessment
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