How to Fill Out the Adult Disability Report (Form SSA-3368-BK)-2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out Section 1, which requires your personal information such as name, Social Security number, and contact details. Ensure accuracy as this information is crucial for your application.
  3. In Section 2, provide contact information for two individuals who can assist with your claim. This helps the Social Security Administration reach someone familiar with your medical condition if needed.
  4. Move to Section 3 and list all physical and mental conditions that limit your ability to work. Be specific and thorough, as this section is vital for assessing your disability status.
  5. Complete Section 4 regarding your work activity. Indicate whether you are currently working or when you stopped working due to your conditions. Provide detailed explanations where necessary.
  6. Continue through Sections 5 to 10, detailing your education, work history, medications, medical treatments, and any support services you have received. Use the remarks section for additional information if needed.
  7. Once completed, review all sections for accuracy before submitting the form either online or at your local Social Security office.

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List all medications, treatments, therapies, and medical devices you currently use, along with the names, addresses, and phone numbers of your healthcare providers. This helps the SSA get a complete picture of your ongoing medical care.
Be honest and dont exaggerate Dont say anything on your application unless its true. Also avoid making your condition sound worse than it is. For example, dont say your pain level is 10/10 every day unless it truly is.
How to Fill Out the SSA-3368 Adult Disability Report Form Sections 1 and 2: Background and Third-Party Information. Section 3: Medical Conditions. Section 4: Work Activity. Section 5: Education, Training, and Literacy. Section 6: Job History. Sections 7 and 8: Medicines and Medical Treatment.
How to Fill Out an Adult Function Report for Disability (7 Tips) Answer Every Question and Be Honest! Answer Only the Questions Being Asked. Give as Much Detail as You Can. Be Consistent (Some Questions Overlap) Be Specific on Question 5 of the Function Report. Dont Limit Your Answers to the Space on the Form.
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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C. How to complete sections of the SSA-3368-BK Section 1 -- Information about the Person Applying for Disability. Section 2 -- Contacts. Section 3 -- Medical Information. Section 4 -- Work Activity. Section 5 -- Education, Training, and Literacy. Section 6 -- Work History. Section 7 -- Medicines. Section 8 -- Medical Treatment.
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.
SSD Function Report FAQs. Function Report Question # 7: Do you take care of anyone else such as a wife/husband, children, grandchildren, parents, friend, other? Be very specific here; if you provide care for someone else, dont assume the reader understands what that means.
Simplify the Process: Submit Your Disability Update Report Online. To streamline the disability update report process, consider completing and submitting your SSA-455 form. You can do this online through your My Social Security account. This secure, convenient option allows you to complete the report at your own pace.
Be honest: Answer every question honestly and provide as much detail as possible. Be specific: Describe specific examples of how your disability limits you, both physically and mentally. Be consistent: Dont contradict other answers youve given on the form or in your application.

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