Some of these are scanned images. If you have accessibility issues, please contact us at soar@prainc.com
This sample packet is for a fictional child applicant named "Annie Farnsworth," and is provided for informational purposes only. These forms are not to be used for the SOAR Online Course: Child Curriculum practice case.
Sample Completed SOAR Application Packet for an Initial Claim
- SOAR Checklist for Initial Claims (PDF)
- SSA-827: Authorization to Disclose Information (PDF)
- SSA-1696: Appointment of Representative (PDF)
- SSA-8000: SSI Application (PDF)
- SSA-3820: Child Disability Report (PDF)
- SSA-3378: Child Function Report, Age 6 to 12th Birthday (PDF)
- SSA-5665: Teacher Questionnaire (PDF)
- Medical Summary Report (PDF)