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USSSARev. 12-2023

Official form guide

Form SSA-827: Authorization to Disclose Information to the Social Security Administration

Authorizes SSA to obtain medical records, school records, and other information from sources such as doctors, hospitals, and employers when processing your disability or benefits claim.

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Form Overview

SSA Form SSA-827 - Authorization to Disclose Information to the Social Security Administration

Authorizes SSA to obtain medical records, school records, and other information from sources such as doctors, hospitals, and employers when processing your disability or benefits claim.

A consent form authorizing SSA to obtain medical, school, employment, and other records relevant to your claim.

Risk Radar

Scan points
  • 1Not signing or dating the form — an incomplete authorization is void.
  • 2Not completing all required fields — forms with missing information are rejected.
  • 3Outdated form version — SSA may only accept the current revision.

Plain English

This form gives SSA permission to collect information about you from your doctors, hospitals, schools, and other organizations to evaluate your disability claim.

Submission Date

  • Filing date: Required when you apply for disability benefits (SSDI or SSI) and whenever SSA needs to gather new evidence.
  • Preparation window: collect IDs, supporting records, and signatures in advance.
  • Final review: verify names, dates, and required fields before submission.

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Glossary Terms

medicalobtain

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Field map

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6 fields

Claimant Info

4 items

Name

Your full legal name.

Requiredtext
Social Security Number

Your SSN to identify your claim.

Requiredssn
Date of Birth

Your date of birth.

Requireddate
Other Names Used

Any other names under which records may be filed.

text

Authorization

2 items

Signature

Sign to authorize SSA to obtain your records.

Requiredsignature
Date Signed

Date you signed the authorization.

Requireddate

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Quick Facts

Disability applicants and claimants who need SSA to gather supporting documentation on their behalf.
A consent form authorizing SSA to obtain medical, school, employment, and other records relevant to your claim.
Required when you apply for disability benefits (SSDI or SSI) and whenever SSA needs to gather new evidence.
Submit along with your disability application at your local SSA office or online.
SSA needs this authorization to legally request your private medical and other records from third parties.
Sign and date the form. SSA will use it to contact your healthcare providers and other sources directly.

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Source transparency

Copyright & Licensing - US Government Forms

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Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
Verify current license terms with the source agency before reuse outside this platform.

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