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REMEMBER TO GIVE US THE NAME AND ADDRESS OF THE PERSON COMPLETING THIS FORM ON PAGE 8 Work History Report -- Form SSA-3369-BK HOW TO COMPLETE THIS FORM Privacy Act Statement Collection and Use of Personal Information Sections 205 a 223 d and 1631 e 1 of the Social Security Act as amended authorize us to collect this information. We will use the information you provide to make a determination of eligibility for Social Security benefits. The information that you give us on this form will be used ...

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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.

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.

How do I fill out a work history report for disability?

0:48 6:49 How to Fill Out the Social Security Work History Report Form (SSA ... YouTube Start of suggested clip End of suggested clip So what you do is you list the job titles that you've had in the last. 15 years before the onsetMoreSo what you do is you list the job titles that you've had in the last. 15 years before the onset date of disability. And keep it simple don't use fancy terms like managers. And supervisors.

What is a form SSA 3369 BK?

Form SSA-3369-BK is a work history report for adults who are seeking to receive disability benefits from the Social Security Administration. The information within the report is used to determine whether the applicant meets the SSA's qualifications to be considered disabled.

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.

ssa 3369 bk

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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.

Why did I get SSA 821 BK?

In fact, the SSA directs form 821-BK to an individual who is already receiving disability insurance benefits (which means they are considered disabled and cannot be working) to make sure that the beneficiary hasn't been doing any work activity since the alleged onset date.

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