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See more SSA 3373 function report versions

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Versions Form popularity Fillable & printable
SSA-3373 (Formerly SSA-3373-BK) 2020 4.8 Satisfied (47 Votes)
SSA-3373 (Formerly SSA-3373-BK) 2020 4.4 Satisfied (108 Votes)
SSA-3373 (Formerly SSA-3373-BK) 2015 4.4 Satisfied (98 Votes)
SSA-3373 (Formerly SSA-3373-BK) 2013 4.1 Satisfied (67 Votes)
SSA-3373 (Formerly SSA-3373-BK) 2009 4.2 Satisfied (122 Votes)
SSA-3373 (Formerly SSA-3373-BK) 2007 4 Satisfied (41 Votes)
SSA-3373 (Formerly SSA-3373-BK) 2004 4 Satisfied (21 Votes)
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Social Security's Function Report is designed to provide you with an opportunity to paint a picture of what a day in the life is like for someone living with the impairments you have.
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.
The limitation may be due to a mental disorder, cognitive disorder, distracting pain, and/or medication side-effects. If you have difficulty concentrating, focusing, remembering things, or processing information, then you may have a mental limitations.
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 is the Adult Function Report? The Adult Function Report examines how your disability affects your day-to-day life. Also referred to as an ADL (activities of daily living) questionnaire, the Adult Function Report is officially known as Function Report SSA-3373.
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What is the Adult Function Report? The Adult Function Report examines how your disability affects your day-to-day life. Also referred to as an ADL (activities of daily living) questionnaire, the Adult Function Report is officially known as Function Report SSA-3373.
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.
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.
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.
The limitation may be due to a mental disorder, cognitive disorder, distracting pain, and/or medication side-effects. If you have difficulty concentrating, focusing, remembering things, or processing information, then you may have a mental limitations.

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