The SSA Forms 3368, 827, & 1696

Thursday, Jan 18th, 2018 @ 4:30 pm

Disability Benefits Services presents: 

The SSA Forms 3368, 827, & 1696 – January 18, 2018
• Teaches how the SSA uses the SSA 3368 Adult Disability Report to develop your case and what information you should include in this document
• Teaches the importance of the SSA 827 Authorization to Disclose Information to the SSA
• Teaches the importance of the SSA 1696 Appointment of Representative form

Disability Webinar Training
TIME: 4:30 to 5:30 p.m. MST
2018 DATES: January 11th, 18th, 25th, and February 1st, 8th, and 15th COST: $20 per webinar or $100 for all 6 webinars

About our Organization

Easterseals Colorado Disability Benefits Services (DBS) is a program established to assist individuals with disabilities and chronic health conditions to access Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI). Our program’s mission is to provide comprehensive disability services, including disability application assistance, training, employment benefits counseling, and individual placement and support (IPS) services for disabled individuals who want to work.
The Purpose of our Webinars Our organization has seen the need for Social Security Administration (SSA) disability application assistance throughout the State of Colorado, but we know that individuals all over the U.S. struggle with completing these applications. These webinars are designed to help families better understand the SSA’s federal disability programs and navigate the disability application process anywhere in the U.S. We have chosen 6 topics that are relevant to most individuals and families.

Who are Candidates for this Training?

Individuals applying for SSI/SSDI, families of individuals with disabilities, clinicians, case managers, advocates, and staff who provide direct services to individuals who are in need of accessing SSI/SSDI disability benefits.

What’s the Cost?

For individuals, $20 per webinar or $100 for all 6 webinars. We also offer group pricing if an organization would like to make this available to a group of clients and/or their staff. Please contact Byron Kish at for more information.

How do I Register?

Complete the attached registration form with payment by check, credit card, or money order; or register online at

Questions? Please contact Byron Kish at (303) 515-1653 or email 

Please view the attached flyer for registration information. 

View / Download PDF Flyer

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Colorado Respite Coalition
393 S Harlan St, Ste 108
Lakewood, CO 80226

303-233-1666 Phone
303-233-1028 Fax

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