Form SSA-3373-BK - FUNCTION REPORTADULT-2025

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The document is the Function Report - Adult (Form SSA-3373) from the Social Security Administration, designed to collect information about an individual's disabilities and how they affect daily activities and abilities. It provides instructions for completion, emphasizes the importance of detailed responses regarding personal care, household tasks, social interactions, and limitations due to illnesses or injuries. The information gathered will be used to assess eligibility for disability benefits.

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