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In order to complete the adult application process, you will need to review the different disclosures that have been separately provided to you. The separate authorization form must be signed and returned when you submit your application. *The four different background check forms must be torn off and each separately given to the applicant. Form SSA-3368-BK (06-2016) UF Discontinue Prior Editions Social Security Administration. Page 1 of 15 OMB No. 0960-0579. DISABILITY REPORT - ADULT. PLEASE READ THIS INFORMATION BEFORE COMPLETING THIS REPORT. The information you give us on this report will be used by the office that makes the disability decision on your disability claim.