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PA350 Social Security Disability Law Unit 2 assignment Doug Kaye_REVISEDv2

What part of your time was spent supervising people

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Unformatted text preview: What part of your time was spent supervising people? Did you supervise other people in this job? Check weight you frequently lifted: (By frequently, we mean from 1/3 to 2/3 of the workday.) Hour Day Week Month Year YES NO YES NO YES NO Less than 10 lbs 10 lbs 20 lbs 50 lbs 100 lbs. or more Other Less than 10 lbs 10 lbs 25 lbs 50 lbs. or more Other YES NO YES NO YES NO (Complete the next 3 items.) (Skip to the last question on this page.) Form SSA-3369-BK (2-2008) ef (04-2008) Stoop? Walk? Stand? Sit? Climb? Kneel? Crouch? Crawl? Handle, grab or grasp big objects? Reach? Write, type or handle small objects? (Bend down and forward at waist) (Bend legs to rest on knees) (Bend legs & back down & forward) (Move on hands & knees) Give us more information about Job No. 5 listed on Page 1. Estimate hours and pay, if you need to. PAGE 6 Rate of Pay Hours per day $ PA350 Social Security Disability Law Unit 2 Assignment 8 8 Days per week JOB TITLE NO. 5 In this job, did you: Use machines, tools or equipment? Use technical knowledge or skills? Do any writing, complete reports, or perform duties like this? Per (Check One) Describe this job. What did you do all day? (If you need more space, write in the"Remarks" section.) In this job , how many total hours each day did you: Lifting and Carrying (Explain what you lifted, how far you carried it, and how often you did this.) Check the heaviest weight lifted: Were you a lead worker? How many people did you supervise? Did you hire and fire employees? What part of your time was spent supervising people? Did you supervise other people in this job? Check weight you frequently lifted: (By frequently, we mean from 1/3 to 2/3 of the workday.) Hour Day Week Month Year YES NO YES NO YES NO Less than 10 lbs 10 lbs 20 lbs 50 lbs 100 lbs. or more Other Less than 10 lbs 10 lbs 25 lbs 50 lbs. or more Other YES NO YES NO YES NO (Complete the next 3 items.) (Skip to the last question on this page.) Form SSA-3369-BK (2-2008) ef (04-2008) Stoop? Walk? Stand? Sit? Climb? Kneel? Crouch? Crawl? Handle, grab or grasp big objects? Reach? Write, type or handle small objects? PA350 Social Security Disability Law Unit 2 Assignment 9 9 (Bend down and forward at waist) (Bend legs to rest on knees) (Bend legs & back down & forward) (Move on hands & knees) Rate of Pay $ PAGE 7 Give us more information about Job No. 6 listed on Page 1. Estimate hours and pay, if you need to. Hours per day Days per week JOB TITLE NO. 6 In this job, did you: Use machines, tools or equipment? Use technical knowledge or skills? Do any writing, complete reports, or perform duties like this? Per (Check One) Describe this job. What did you do all day? (If you need more space, write in the"Remarks" section.) In this job , how many total hours each day did you: Lifting and Carrying (Explain what you lifted, how far you carried it, and how often you did this.) Check the heaviest weight lifted: Were you a lead worker?...
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PA350 Social Security Disability Law Unit 2 assignment Doug Kaye_REVISEDv2

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