Dates of marriages & divorces

Names & dates of birth for children

Military service discharge information

Gross income for last year & this year

Last date worked

Name and address of most recent employer

Banking account information

Name, address, and phone number of a person (family member or friend) SSA can contact about your limitations

Names, addresses, phone numbers, and approximate treatment dates for all doctors/hospitals/urgent care/physical therapy/rehab clinics

Names of current medications & the doctor that prescribes them

Names, dates, and ordering physician for medical tests done

Job titles, dates worked, and salary information for all jobs within the past 15 years

Workers' Compensation claim information (amount received, when, etc.)

LTD/STD payment amounts received & date started/ended

Retirement incentive payments received & date started/ended

Pension amount received & date started