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Form SSA-455-OCR-SM Disability Update Report
What Is Form SSA-455-OCR-SM?
Form SSA-455-OCR-SM, Disability Update Report , is a form mailed to a disabled beneficiary or their representative in order to update information about their condition and treatment they received in the past two years. The most recent version of this form was issued by the U.S. Social Security Administration (SSA) on October 1, 2013 . Download a PDF version of the Form SSA-455-OCR-SM through the link below.
Alternate Names:
- SSA Disability Update Report;
- Continuing Disability Report.
The form has two versions, the longer and the shorter. The shorter form, Form SSA-455, Disability Update Report, does not require much information and is processed by a computer. Based on the information provided on this form, the SSA will decide whether or a medical review is required. If the SSA Disability Update Report is accepted, the SSA will send a notice in that regard. If the SSA requires more information and a full medical review, the beneficiary will receive Form SSA-455-OCR-SM often referred to as the "Long Form." This is a 10-page form, requiring more information about the beneficiary's medical condition, treatment, education and work activity, etc.
How to Fill Out Form SSA-455-OCR-SM?
- Indicate whether you have been working for someone or been self-employed during the reporting period in Question 1A.
- If you answered the previous question positively, enter the date you began and stopped working and your gross monthly earnings in Question 1B. If you are working at present, enter the current month and year in the box titled "Month Ended." Describe the most recent working activity.
- Indicate whether you attended any school or training program during the reporting period in Question 2.
- Indicate whether you have discussed your ability to work with your doctor and whether they approved of your plans to work in Question 3.
- Enter an "X" in the corresponding box indicating whether your condition has improved, worsened, or has not changed since the last review (Question 4).
- Provide information about the treatment and whether you received it during the reporting period in Question 5A. This includes help provided by phone or other contacts.
- If you visited a doctor or clinic, enter the reasons, and dates of the most recent visits in Question 5B. Start with the most recent and then work backward in time.
- Indicate whether you were hospitalized or had surgery since the last update in Question 6A.
- If you answered positively to the previous question, provide reasons and dates of the received treatment in Question 6B.
- Use "Remarks" if the provided space is not enough or you need to include additional comments.
The frequency of mailing SSA Form 455-OCR-SM depends on the beneficiary's condition and if the improvement is expected. If it is not expected, the form will be mailed every 5 to 7 years. If there is a possibility of improvement, the beneficiary will receive an SSA Form 455 every three years. If improvement is expected, the SSA will mail a form-to-update every 6 to 18 months. The review frequency is different for each person. In addition, the form can be mailed after a certain event, such as turning 18 or receiving a work-related income.
Where to Send the Completed SSA Form 455-OCR-SM?
Mail the completed form to the return address on the envelope or, if there was none, send the form to the Social Security Administration, P.O. Box 4550, Wilkes-Barre, Pennsylvania 18767-4550. The completed form should be mailed within 30 days from the date it was received.
Download Form SSA-455-OCR-SM Disability Update Report
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