Get the up-to-date form ssa 3380 bk 12 2009 ef 01 2013-2024 now

Get Form
form ssa 3380 bk 12 2009 ef 01 2013 Preview on Page 1

Here's how it works

01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.

The easiest way to edit Form ssa 3380 bk 12 2009 ef 01 2013 in PDF format online

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2

Working on paperwork with our feature-rich and user-friendly PDF editor is easy. Adhere to the instructions below to complete Form ssa 3380 bk 12 2009 ef 01 2013 online easily and quickly:

  1. Sign in to your account. Sign up with your email and password or create a free account to test the service prior to upgrading the subscription.
  2. Upload a form. Drag and drop the file from your device or add it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
  3. Edit Form ssa 3380 bk 12 2009 ef 01 2013. Effortlessly add and underline text, insert pictures, checkmarks, and signs, drop new fillable areas, and rearrange or remove pages from your document.
  4. Get the Form ssa 3380 bk 12 2009 ef 01 2013 accomplished. Download your adjusted document, export it to the cloud, print it from the editor, or share it with other participants using a Shareable link or as an email attachment.

Benefit from DocHub, one of the most easy-to-use editors to rapidly handle your documentation online!

See more form ssa 3380 bk 12 2009 ef 01 2013 versions

We've got more versions of the form ssa 3380 bk 12 2009 ef 01 2013 form. Select the right form ssa 3380 bk 12 2009 ef 01 2013 version from the list and start editing it straight away!
Versions Form popularity Fillable & printable
2020 4.8 Satisfied (57 Votes)
2020 4.3 Satisfied (33 Votes)
2017 4.3 Satisfied (157 Votes)
2015 4.3 Satisfied (27 Votes)
2009 4.4 Satisfied (82 Votes)
2004 4 Satisfied (37 Votes)
2003 4 Satisfied (28 Votes)
be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
Third Party Adult Function Report is a form that Social Security sometimes send to your contact person. This form is usually sent out two or three months after you first apply. It is also sometimes used during Continuing Disability Reviews, for people who are already on disability.
Social Security pays five types of benefits: Retirement. Disability. Spouse's/dependent children. Survivors. Medicare.
Yearly earnings totals are free to the public if you do not require certification. To obtain FREE yearly totals of earnings, visit our website at www.ssa.gov/myaccount. Section 205 of the Social Security Act, as amended, allows us to collect this information.
If SSA reaches out to your contacts, they will receive Form SSA-3380-BK or the Third Party Function Form. This does not mean that there is a problem with your application, but it does mean your case was not clear-cut. The form asks your contacts very detailed questions about your ability to function in daily life.
Be honest but don't 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 isn't that bad and you should have no problem returning to work.
be ready to get more

Complete this form in 5 minutes or less

Get form

People also ask

To complete an SSA 3380-BK, you will need to provide the following information: Section A - General Information. ... Section B - Information About Illnesses, Injuries, or Conditions. ... Section C - Information About Daily Activities. ... Section D - Information About Abilities. ... Section E - Remarks. ... Name of person completing the form.
After you have made a Social Security Disability claim and have had your initial interview, you may be asked to fill out Form 3373-BK, the Adult Disability Report. This form is designed to be filled out by yourself, without the aid of medical or other professionals.

Related links