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Recent Work History Form

How To Fill Out Form HA-4633 in New Orleans

Recent Work History Form

View and Download Form HA-4633

If you’ve been denied Social Security Disability benefits, you’re not alone.

Most people get denied the first time they apply. You should consider appealing the decision. Part appealing is filling out Form HA-4633, which is called “Claimant’s Work Background.”

Don’t wait to appeal, because the Social Security Administration (SSA) has a strict deadline for appeals and could make you start your application again if you’re too late.

To appeal your denial, you’ll have two other forms you need to submit before you complete Form HA-4633.

First, complete Form HA-4486: “Claimant’s Statement When Request for Hearing is Filed and the Issue is Disability.”

Also, fill out Form SSA-3441-BK: “Disability Report – Appeal.”

Once you’re finished with those, you’ll next be asked to fill out Form HA-4633.

And you will complete this form along with these two forms:

You must submit the forms before the SSA’s deadline, or you risk having to start over from the beginning with your application.

You can fill out the forms online, or fill out and return paper forms.


This form covers your work history. You’ll need to list several details:

  • Dates of employment
  • Names and locations of employers
  • Duties you performed in each job


Most of the time, you’ll need to include 15 years of work history – before the date when you first experienced your disability – on Form HA-4633.

Fill out the form as honestly and completely as you can.

With this form, the SSA is trying to decide if your disability prevents you from doing your previous work, or if you can adjust to a different kind of work.

If you had a physically demanding job in construction, for example, could you still switch to a clerical job in an office?

You need to prove to Social Security that your medical condition is severe enough that you couldn’t work any job.

Form HA-4633 is your chance to give a clear picture of your work history to the administrative law judge who will decide on your case in a hearing.


When you’ve been denied Social Security Disability benefits and need to appeal, we highly recommend working with a disability advocate.

This stage in the process is complicated.

It’s enough stress dealing with health problems that keep you from work. You can relieve the burden on yourself and give yourself the best chance at winning benefits by getting help from a professional disability representative.

Gary Sells and his team have helped thousands of people win disability benefits. Gary Sells has been winning essential benefits for people for 35 years.

We can help you with Form HA-4631 and all the forms you need to apply and appeal for Social Security Disability benefits.

We’ll also help you prepare for your hearing with a judge. We’ll meet with you to explain the process and get you ready and confident to testify. We’ll gather all your medical evidence and work history records, ensuring that you have a strong case.

Call us right away if you were denied your disability claim, so you don’t lose time to put together your appeal.

Contact us if you need help with Form HA-4633.