Ssa 3378-2025

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The document is a Function Report for children aged 6 to 12, used to assess the impact of a child's disabilities on their daily activities. It provides instructions for completing the form, emphasizes the importance of detailed responses, and outlines how the information will be used by the Social Security Administration to determine eligibility for Supplemental Security Income (SSI) based on disability. The report includes sections on identifying information, functional abilities in various areas such as communication, learning, physical abilities, social interactions, personal care, and attention span.

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Versions	Form popularity	Fillable & printable
2017	4.8 Satisfied (196 Votes)
2014	4.3 Satisfied (43 Votes)
2003	4.4 Satisfied (403 Votes)
1995	4.4 Satisfied (532 Votes)

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What is SSA and how does it work?

It provides monthly payments to meet basic needs for food, clothing, and shelter. The base monthly federal amount varies depending on your living arrangement and countable income. Not everyone gets the same amount. You may get more if you live in a state that adds money to the federal SSI payment.

Why did Social Security send me a function report?

If you are filling out an Adult Function Report, Social Security is trying to get an understanding of the activities that you are still able to do (your Residual Functional Capacity).

What is Form SSA?

An SSA-1099 is a tax form we mail each year in January to people who receive Social Security benefits. It shows the total amount of benefits you received from us in the previous year so you know how much Social Security income to report to the Internal Revenue Service on your tax return.

Does Social Security still send out yearly statements?

By law, SSA will send the annual statements to workers who are ages 25 and older and not receiving Social Security benefits. SSA will stagger the mailing of the statements throughout the year, with approximately 500,000 statements delivered each day.

How can I get my Social Security benefit statement?

You can get your Social Security Statement (Statement) online by using your personal my Social Security account. If you don't yet have an account, you can easily create one.

How do I download my Social Security benefit statement?

To see your own, personalized Statement PDF, create or log in to your personal my Social Security account. There, you can print, save, or download your own Statement PDF to check your earnings record and personalized benefit estimates.

How can I get a Social Security statement that shows a record of my earnings and an estimate of my future benefits?

You can request Social Security publications at our website, www.socialsecurity.gov, or by calling us at 1-800-772-1213.

What are SSA documents?

Social Security Documents we may ask for include: Your Social Security card or a record of your number. Your original birth certificate, a copy certified by the issuing agency, or other proof of your age. We must see the original document(s), or copies certified by the agency that issued them.

Ssa 3378-2025

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