SSA-3379-BK Function Report - Child Age 12 to 18th Birthday-2025

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Form SSA-3380-BK is a form used by an individual seeking disability benefits from the Social Security Administration. This is a function report for an adult that is completed by a third-party. The third-party chosen to complete this extensive form cannot be a medical professional treating the applicant.
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.
9 tips for filling out the function report Keep your answers consistent. Start with question 20. Answer questions directly. Talk about your average or worst days. Be honest and dont exaggerate. Send additional information as quickly as possible. Talk about all conditions that keep you from working.
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People also ask

Why Did Social Security Send Me a Function Report? The Social Security Administration may send you a Function Report form as part of your disability application process. The form ensures the SSA has the most accurate and up-to-date information possible.
The information we ask for on this form tells us how you think the childs illnesses or injuries affect the way he or she does many of his or her usual activities.
The Function Report (SSA-3373) helps DDS to obtain information about how an applicants illness(es) and condition(s) affect their ability to function and perform everyday tasks.
The Adult Function Report is often used by Social Security to discredit your claim. The ten-page form asks about your daily activities, personal care, meal prep, household and yard work, hobbies, and social activities.
Form SSA-3380-BK is a form used by an individual seeking disability benefits from the Social Security Administration. This is a function report for an adult that is completed by a third-party. The third-party chosen to complete this extensive form cannot be a medical professional treating the applicant.

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