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When you have requested, or are requesting, a hearing
before an Administrative Law Judge (ALJ), use this form to tell us about
any work you have performed since you filed your claim for disability benefits.
If you are not certain whether you told us about work you have done,
including work you may have done before you filed your application, include
that work on this form.
To ensure that we have current medical information, you should also
complete an HA-4631, Claimant's Recent
Medical Treatment, and an HA-4632,
Claimant's Medications
How to Obtain the Form
Below you will find Form in Portable Document Format (PDF). To print
the PDF version, you will need the Adobe Acrobat reader software. If you
do not already have this special software, see our page
on downloading and printing PDF documents. After you download the Adobe
Acrobat Reader, come back to this page and download the PDF version of the
HA-4633:
 Claimant's
Work Background, HA-4633
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www.socialsecurity.gov
