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SSA-3380-BK 2003 free printable template

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FUNCTION REPORT - ADULT - THIRD PARTY - SSA-3380-BK PLEASE READ ALL OF THIS INFORMATION BEFORE YOU BEGIN COMPLETING THIS FORM HOW TO COMPLETE THIS FORM The information that you give on this form will be used to make a decision on the disabled person s claim. You can help by completing as much of the form as you can. When a question refers to the disabled person it refers to the person who is applying for disability benefits. Describe what the disabled person does from the time he/she wakes up...
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How to fill out ssa 3380 function report

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How to fill out SSA 3380 function report:

01
Begin by carefully reading the instructions provided with the form. This will give you a clear overview of the information you need to provide and the format required.
02
Start by providing your personal information, including your full name, Social Security number, and contact details. It's important to ensure all this information is accurate and up to date.
03
The next section of the form typically asks for details about your conditions or impairments. Be specific and provide as much information as possible about each condition, including the date of diagnosis, the severity, and how it affects your ability to function on a daily basis.
04
The form will also ask about your ability to work and perform certain activities. Be honest and provide detailed answers about the specific tasks you can or cannot do due to your impairments. Include any limitations, difficulties, or challenges you face in performing these activities.
05
You may be asked to provide a list of medications or treatments you are currently receiving for your condition. Include the name of each medication, the dosage, and how frequently you take it. If you are undergoing any therapies or surgeries, provide these details as well.
06
The form may also inquire about your work history, education, and past job responsibilities. Provide accurate information about your past employment, including the dates of employment, job titles, and a brief description of your duties.
07
There may be additional sections in the form asking for information related to your daily activities, hobbies, and tasks you can no longer perform. Answer these questions truthfully and provide as much detail as possible to help the decision-making process.

Who needs the SSA 3380 function report?

01
Individuals who are applying for Social Security disability benefits or appealing a denied claim may be required to fill out the SSA 3380 function report.
02
The function report is necessary for both initial disability claims and continuing disability reviews. It helps the Social Security Administration evaluate the claimant's ability to work and perform daily activities, which in turn determines their eligibility for benefits.
03
The SSA 3380 function report is also relevant for individuals who are already receiving disability benefits but have experienced changes in their condition or impairment. This report helps determine if the individual's eligibility for benefits needs to be reassessed or adjusted.
In summary, filling out the SSA 3380 function report requires careful attention to detail and providing accurate and thorough information about your conditions, impairments, and ability to perform daily activities. It is necessary for individuals applying for or receiving Social Security disability benefits, as well as those undergoing disability claim reviews or reassessments.

Who needs an SSA 3380 bk 2009 form?

The “Function Report — Adult — Third Party” form also known as the SSA 3380 bk form is necessary for Social Security disability clients and their families in applying for and appealing their Social Security disability claim. The SSA 3380 bk 2009 form must be completed by third parties, which indicate the limitations of the disabled person.

What is SSA 3380 bk 2009 form?

The SSA 3380 bk 2009 Adult Function Report form gives information to help determine whether physical limitations of a disabled person are a sufficient reason for assistance provided by the state.

Is SSA 3380 bk 2009 form accompanied by other forms?

This SSA 3380 bk 2009 form is not accompanied by any other forms.

When is SSA 3380 bk 2009 form due?

You can fill out form SSA 3380 bk at any time as needed. Just be sure it complies with the latest requirements for documents posted on the Official Social security website.

How do I fill out SSA 3380 bk 2009 form?

SSA 3380 bk 2009 form has several pieces to fill out:

  • General information, including the name, contact information, and relationship to the disabled person;
  • Information that describes a typical day of the disabled person, their activity, meals, housework, shopping, interests, etc.;
  • Information about mental and physical condition of the disabled person;
  • Remark section

Where do I send SSA 3380 bk 2009 form?

You need to send this form to the office which requested it. If you don’t have that address, you can call Social Security at 1-800-772-1213 (TTY 1-800-325-0778).

Instructions and Help about ssa 3380 function report

All right everybody greets this again is attorney Anthony Ruiz bringing you your social security legal beat tip and I got a couple of questions that have imposed out to me, I want to thank the individuals who are asking me about the workers comp offset as well as about the pain threshold what we call the pain standard as well as about the medically determinable impairment I'm going to address those and upcoming videos, but I wanted to address this one for Mr. CPU who asked me about the functional report forms third party glad you brought that up because that's something I like to talk to people about when this fullness part popped out when you file your disability application and your case gets transferred to the disability determination services one of the things they do is they will send out forms to you with your functional forms these functional forms are designed for you to describe what's going on in the course of your daily activities was coming in terms of what do you do when you get up in the morning how do you handle getting dressed when you do experience any problems don't you're cleaning the house or anything like that what most people don't also realize is that when they'll also ask you meaning in Social Security Administration is to provide them the name of at least two or three people who can provide them with information about your case or about you and what they do is they send them a form similar to the one that you receive this may sound wild, but I want you to keep in mind this somebody asked me once before why does Social Security send all these forms all over the place I don't understand I'll tell you one word consistency because a lot of times they want to see is what you're saying consistent with what everybody else is seeing as well let me give you a good example let's say for instance you say when you go to the grocery store that every time you go you got to ride in a motorized car, and you always have to go with someone you can never go by yourself, and then they send a form to your friend and your friend and ask them have you ever seen your friend go grocery shopping yeah I see him the other day when they were grocery shopping were there any problems' no they were walking around like we walked up and down the aisles together now see how that's a little different from you saying you're at a corporate cart, and you're the other friend of yours are saying they've seen you walking down the aisle that plays a part with your credibility because if you're not being consistent they're going to look at what you're saying in light of your condition with a little degree of suspect so the first thing they do is they look for consistency, and it's consistency throughout so when you get those functional reports they're trying to see are you embellishing them let me kind of add it a step further in some instances when you're apply in some states you have two appeals before you go before judge well the first appeal they're going to...

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