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Click ‘Get Form’ to open the SSA-3373-BK in the editor.
Begin by filling out Section A, which includes your name, Social Security number, and contact information. Ensure all fields are completed accurately.
Move to Section B, where you will describe your daily activities. Provide detailed answers about your routines from waking up to going to bed, including any assistance you may need.
In Section C, check any items that your conditions affect and explain how they impact your abilities. This section is crucial for assessing your disability claim.
Utilize the 'REMARKS' section on Page 8 for any additional information that may help clarify your situation or provide further context.
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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (47 Votes)
2020	4.4 Satisfied (108 Votes)
2015	4.4 Satisfied (98 Votes)
2013	4.1 Satisfied (67 Votes)
2009	4.2 Satisfied (122 Votes)
2007	4 Satisfied (41 Votes)
2004	4 Satisfied (21 Votes)

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