Form SSA-827, Authorization to Disclose Information to the SSA

About Form SSA-827

Form SSA-827, Authorization to Disclose Information to the Social Security Administration, gives permission for medical providers, hospitals, and other sources to release records to SSA. It is commonly used to support a disability claim, where SSA needs to review your medical and related history.

By signing, you authorize the listed types of sources to disclose information to SSA and to the state agencies that help evaluate disability claims. This helps the agency gather the evidence needed to make a decision on your claim.

The authorization is broad enough to cover the records SSA typically needs, while still requiring your signature to take effect. Review the form so you understand what you are authorizing before signing.

Who needs to complete it

• People filing a Social Security disability claim who must release medical records.
• Claimants asked by SSA to authorize disclosure of their information.
• Representatives helping a claimant complete a disability application.
• Individuals whose providers require written authorization to share records with SSA.

How to fill out Form SSA-827

1. 1Read the authorization carefully so you understand what you are permitting.
2. 2Enter your identifying information, including name and date of birth.
3. 3Confirm the types of sources and records the authorization covers.
4. 4Note any specific limitations if the form allows you to add them.
5. 5Provide the date so the authorization period can be determined.
6. 6Sign the form, or have an authorized person sign if you cannot.
7. 7Submit the signed authorization to SSA as directed with your claim.
8. 8Keep a copy for your records.