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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.

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.

What is a third party function report?

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 conditions limit your ability to work?

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.

What is a function report?

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.

3373 bk form

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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.

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.

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