Ssa 3379 bk-2025

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The document is the Form SSA-3379-BK, a Function Report for children aged 12 to 18, used by the Social Security Administration to assess a child's disabilities and their impact on daily activities. It provides instructions for completion, emphasizes the importance of detailed responses regarding the child's limitations in various areas such as communication, physical abilities, social interactions, and personal care. The form also includes privacy information and guidelines for submitting the completed report.

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Versions	Form popularity	Fillable & printable
2022	4.6 Satisfied (31 Votes)
2017	4.8 Satisfied (71 Votes)
2003	4.4 Satisfied (122 Votes)
1995	4.4 Satisfied (285 Votes)

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