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How to use or fill out the Function Report - Adult - Third Party Form SSA-3380-BK

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin with Section A, providing general information about the disabled person and your relationship to them. Ensure you fill in their name, your name, and contact details accurately.
  3. Move to Section B, where you will describe the disabled person's illnesses or conditions. Be specific about how these affect their ability to work.
  4. In Section C, detail daily activities. Describe a typical day for the disabled person, including personal care routines and any assistance they may need.
  5. Proceed to Section D, focusing on abilities. Check all relevant items that are affected by their conditions and provide explanations for each.
  6. Finally, use Section E for any additional remarks or information that may help clarify previous answers. Don't forget to complete your details at the bottom of this section.

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How to Answer Disability Questionnaires Write clearly and legibly. Avoid erasures as much as possible. Do not leave any section of the form blank (unless otherwise specified). Give consistent answers. Answer the questions truthfully. Follow the instructions on the form.
Ten Tips and Tricks for Filling Out a Disability Update Report (SSA-455-BK) # 1 Understand the Short Form. # 2 Try Not to Get Too Stressed. # 3 Make a Copy Before Starting. # 4 Answer Honestly. # 5 List Your Reason For Doctors Visit. # 7 Advanced trick: Look Up Your Profile Code.
Social Security offers an online disability application you can complete at your convenience. Apply from the comfort of your home or any location at a time most convenient for you. You do not need to drive to your local Social Security office or wait for an appointment with a Social Security representative.

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People also ask

Be honest but dont exaggerate. Be specific about your limitations. If you do not clearly describe your limitations or give vague answers on your Adult Function Report, Social Security will take that to mean your disability really isnt that bad and you should have no problem returning to work.
If you download, print and complete a paper form, please mail or take it to your local Social Security office or the office that requested it from you. Important Note: PDFs you open from this page may default to opening within a browser, depending on your browser settings.
If you are unable to check your status online, you can call us at 1-800-772-1213 (TTY 1-800-325-0778), Monday through Friday, 8:00 am 7:00 pm; or contact your local Social Security office.
You can upload documents by using the Send Response for Individual Case link on the Electronic Records Express Home page. The upload function is also available while accessing a claimants electronic folder through the Access Claimants Electronic Folder link.
You can upload documents by using the Send Response for Individual Case link on the Electronic Records Express Home page. The upload function is also available while accessing a claimants electronic folder through the Access Claimants Electronic Folder link.

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