How to use or fill out SSA-3373-BK Function Report - Adult
- Click ‘Get Form’ to open it in the editor.
- Begin with Section A, providing your name, Social Security number, and contact information. Ensure all fields are filled; if a question does not apply, write 'none' or 'does not apply'.
- Move to Section B and describe how your conditions limit your ability to work. Be specific about the impact on daily activities.
- In Section C, detail your daily activities from waking up to going to bed. Include any caregiving responsibilities and how they affect you.
- Proceed to Section D where you will check items that your conditions affect, such as lifting or walking. Provide explanations for each checked item.
- Finally, use the Remarks section for any additional information that may help clarify your situation before submitting the form.
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