PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
DDU Form 177
for the current year.
DDU Form 177 Non-medical Evaluation of Disability - New Hampshire
What Is DDU Form 177?
This is a legal form that was released by the New Hampshire Department of Health and Human Services - a government authority operating within New Hampshire. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DDU Form 177?
A: DDU Form 177 is a Non-medical Evaluation of Disability form.
Q: Who requires DDU Form 177?
A: Individuals in New Hampshire who are applying for disability benefits may be required to submit DDU Form 177.
Q: What is the purpose of DDU Form 177?
A: The purpose of DDU Form 177 is to evaluate the non-medical aspects of a person's disability and determine their eligibility for disability benefits.
Q: Do I need to include medical records with DDU Form 177?
A: No, DDU Form 177 is specifically for non-medical evaluation. You may be required to submit medical records separately.
Q: Who should fill out DDU Form 177?
A: DDU Form 177 should be filled out by the applicant or a representative who is familiar with the applicant's non-medical disability-related information.
Q: What information is required on DDU Form 177?
A: DDU Form 177 requires information about the applicant's daily activities, work history, education, and other relevant non-medical aspects of their disability.
Q: Is there a deadline for submitting DDU Form 177?
A: There may be a deadline for submitting DDU Form 177, which will be specified in the instructions or by the agency requesting the form.
Q: What happens after I submit DDU Form 177?
A: After submitting DDU Form 177, the Social Security Administration will review the form along with any supporting documents and make a determination regarding disability benefits.
Form Details:
- Released on July 1, 2019;
- The latest edition provided by the New Hampshire Department of Health and Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of DDU Form 177 by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Health and Human Services.
Download DDU Form 177 Non-medical Evaluation of Disability - New Hampshire
1
2
3
4
5
6
7
8
