Monte Phillips has handled Social Security Claims successfully for over 30 years. Tammie McCabe has worked with the office doing claim development and hearings for 12 years.
Tammie is authorized and certified by the Veterans Administration and the Social Security administration as a claims representative.
Need additional information or forms related to your claim? Please visit the links below:
*NOTE – Adobe Reader Required
SSA Resources
SSA Forms
Application Form(s)
- Application for Disability Insurance – https://www.ssa.gov/forms/ssa-16-bk.pdf
- Application for Wife’s or Husband’s Insurance Benefits – https://www.ssa.gov/forms/ssa-2-bk.pdf
- Application for Childs Benefits https://www.ssa.gov/forms/ssa-4.pdf
- Application for Parents Benefits https://www.ssa.gov/forms/ssa-7.pdf
- Application for Mother or Fathers Benefits https://www.ssa.gov/forms/ssa-5-bk.pdf
- Application for Widow or Widower’s Benefits https://www.ssa.gov/forms/ssa-10.pdf
- Application for Survivors Benefits https://www.ssa.gov/forms/ssa-24.pdf
- Application for Lump-Sum Death Payment https://www.ssa.gov/forms/ssa-8.pdf
- Application for Special Benefits for World War II Veterans https://www.ssa.gov/forms/ssa-2000.pdf
Release of Information Form(s)
- Consent for Release of Information – https://www.ssa.gov/forms/ssa-3288.pdf
Appointment of Representation Form(s)
- Appointment of Representative Form – https://www.ssa.gov/forms/ssa-1696.html
Function Report Form(s)
- Function Report Adult – https://www.ssa.gov/forms/ssa-1696.html
- Birth to 1st Birthday – https://www.ssa.gov/forms/ssa-3375-bk.pdf
- Child Age 1 to 3rd Birthday – https://www.ssa.gov/forms/ssa-3376-bk.pdf
- Child Age 3 to 6th Birthday – https://www.ssa.gov/forms/ssa-3377-bk.pdf
- Child Age 6 to 12th Birthday – https://www.ssa.gov/forms/ssa-3378-bk.pdf
- Child Age 12 to 18th Birthday – https://www.ssa.gov/forms/ssa-3379-bk.pdf
- Adult 3rd Party Function Report – https://www.ssa.gov/forms/ssa-3380.pdf
Work Activity Form(s)
- Work History Report – https://www.ssa.gov/forms/ssa-3369.pdf
Medical History and Medications Forms
- Claimants Recent Medical Treatment – https://www.ssa.gov/forms/ha-4631.html
- Claimant’s Medications – https://www.ssa.gov/forms/ha-4632.html
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Address
128 Washington Street Doniphan, MO 63935
Cell Phone
Fax Number
573-226-4111
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