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The information that you give us on this form will be used by the office that makes the disability decision on your disability claim* You can help them by completing as much of the form as you can* It is important that you tell us about your activities and abilities. Print or type. DO OT LEAVE A SWERS BLA K. If you do not know the answer or the answer is none or does not apply please write don t know or none or does not apply. Do not ask a doctor or hospital to complete this form* Be sure to e ...

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Who can fill out SSA 3373?

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.

What is a function Report adult third party?

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.

What are the 3 main types of Social Security benefits?

Social Security pays five types of benefits: Retirement. Disability. Spouse's/dependent children. Survivors. Medicare.

What is a form SSA 3373 BK?

Social Security Form SSA-3373-BK is a lengthy form that you fill out as a part of the process of applying for Social Security Disability benefits. It also goes by the Adult Disability Report or the Adult Function Report.

How do you fill out a BSA 3380 BK?

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.

ssa 3373

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Why did I receive a SSA 3380 BK?

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.

How do you respond to a function report?

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.

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