Being clear about your past jobs is important when you’re applying for Social Security Disability Insurance (SSDI). The Social Security Administration (SSA) uses your job history to decide whether you can do your previous work, or something similar, despite your health issues.
The Work History Report (Form SSA-3369) is where you provide information about your past jobs. Completing this form can feel overwhelming, especially if you're not sure how to describe what you did or how much detail is needed.
Don’t worry. The SSA isn’t looking for perfection. The agency needs an honest picture of the tasks you did, their demands, and how your medical condition limits your ability to do these tasks now. The SSA can better understand your limitations if you give details. This form may not reflect how hard it is for you to do your previous work if your answers are too general.
In this article, we’ll explain the SSA-3369 step by step and share example answers to help you complete the form with confidence.
The SSA uses the Work History Report to understand your past jobs and duties. It’s 14 pages long but not all of them need to be completed.
The form asks about:
A key part of the form focuses on the physical demands of your past jobs. The SSA and Disability Determination Services (DDS) use your answers to decide whether you could still do past work. They used to review jobs the past 15 years of work, but now only look at the past five years.
The SSA uses your Work History Report to decide if you qualify for disability benefits. It’s part of a five-step process used to review every case.
Your answers help SSA answer these questions. They evaluate this form, the Adult Disability Report (Form SSA-3368), the Adult Function Report (Form SSA-3373) and your medical records.
The SSA compares your job information to your medical file and sometimes to employer statements. If you say you never lifted more than five pounds, but your records show you were a warehouse worker moving heavy boxes, the SSA will see inaccuracies.
If you describe your job as sitting at a desk all day, the SSA may assume you can still do that work unless you explain that pain, memory issues, or trouble using your hands prevent it.
Your age also matters. If you’re younger than 50, the SSA is more likely to say you could switch to another type of work. If you’re 50 or older, it may deem you less likely to have the skills to switch jobs.
Get these details together before you start the Work History Report:
It’s okay if you don’t remember every date or detail perfectly. Just do your best and keep your answers consistent with the rest of your forms.
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Get EvaluationThis section asks for your basic information. Make sure your information matches other forms like SSA-16 and SSA-3368. If someone else is doing the form for you, note that later in the Remarks section.
This section asks about jobs you’ve had in the past five years that were substantial enough to count as work under SSA rules. Short jobs, like something you did for less than a month, usually don’t count as past relevant work.
Don’t list older jobs just to fill space. Focus on jobs you did long enough to learn them.
If you’ve had several short or part-time jobs, group them together. For example: “I had several temporary warehouse jobs through different employers with similar duties.” Use the remarks section at the end to add more details if needed and explain why you left those jobs.
When you complete this form, remember that the SSA wants to understand what you did at each job. Describe your daily tasks, the tools you used, and the mental or physical demands. Next, we’ll discuss how to fill out each part.
Use the job title your employer gave you and explain your duties. If your title was “assistant manager” but you mostly did physical labor, don’t oversell the title. Just clearly explain the work you did.
It’s okay to estimate to months and years if you don’t remember the exact dates of jobs. Make sure your answers match what you wrote on other SSA forms.
Give two or three clear statements that explain what you did in an average day. For example, say “stocked shelves daily,” or “answered 20-30 calls per shift.”
Avoid vague answers like “helped customers.” A stronger version would be “answered questions about products and processed returns at the register four to five hours a day.”
List anything you used that shows a specific skill or responsibility. That includes forklifts, commercial ovens, patient lifts, cash registers, spreadsheet software, or any specialized equipment. This helps the SSA understand which skills might transfer to other work.
Give examples of what the job required physically. How much time were you on your feet? How long did you sit? What was the heaviest thing you lifted and what was it? Instead of saying you lifted 50 pounds, say “I lifted five-gallon buckets that weighed about 50 pounds.”
It’s also important to explain how your symptoms affected your ability to do these things. You might say, “I could only stand 20 minutes at a time due to back pain,” or “I needed frequent breaks to catch my breath while stocking shelves.”
This is your chance to explain mental and emotional challenges like memory issues, trouble focusing, panic attacks, or difficulty handling customer conflicts. Use the remarks section if you need more space.
When you say that you supervised others, the SSA believes you have supervisor skills. Only say yes if you regularly managed other workers, handling things like scheduling, assigning work, or hiring. Don’t mark it if you helped train someone once.
Use this section to explain anything that didn’t fit elsewhere on the form. It’s the place to mention short job stints, gaps in your work history, or that someone helped you complete the form.
Example statements:
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Get EvaluationBelow are two fictional examples to show the level of detail the SSA expects. Use them as a model for how specific to be in your answers.
Even though this job was mostly sitting, the example shows how pain, anxiety, or cognitive limitations affected the person’s ability to keep up with job demands.
It’s worth noting that the SSA has higher expectations that you can adjust to other types of work if you’re younger than 50.
Use these examples to avoid common mistakes on this form.
Before you send your Work History Report, double-check that you:
If your main limitations are mental health or cognitive, describe how they limited your ability to work daily. That might include struggling to follow instructions, stay on task, be around other people, or handle stress.
Explain how these issues affected your work. For example, you may have made more mistakes, needed reminders, received warnings, needed extra help, or had your hours reduced.
If you worked temp jobs, gig work, or jobs that only lasted a few weeks, that’s normal. Use the remarks section to group them together and explain why they ended
If Someone Else Is Helping You Fill Out the Form
It’s okay for a spouse, caregiver, or friend to help you complete the form. Ask them to use your wording. Use the remarks section to describe your help such as “my daughter helped me write this because I have trouble remembering dates and details.”
Advocate’s disability specialists regularly help people organize their work history and complete forms like SSA-3369. You don’t have to figure it out alone.
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