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Function Report Child Age 12 to 18th Birthday Filling Out The Function Report IF YOU NEED HELP COMPLETING ANY PART OF THIS FORM, CONTACT YOUR SOCIAL SECURITY OFFICE. WE WILL HELP YOU. The information

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How to fill out SSA-3379-BK

1. Obtain the SSA-3379-BK form from the Social Security Administration website or your local SSA office.
2. Read the instructions provided with the form carefully before starting.
3. Fill out your personal information in the designated sections, including name, address, and Social Security number.
4. Provide details about your impairments and how they affect your ability to work.
5. Include information about your educational background and any work experience.
6. Answer all questions thoroughly and to the best of your ability, ensuring clarity and accuracy.
7. Review the completed form for any errors or missing information.
8. Sign and date the form at the bottom before submitting it to the SSA.

Who needs SSA-3379-BK?

1. Individuals who are applying for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) may need to fill out the SSA-3379-BK form.
2. The form is specifically required for those with mental conditions that impair their work abilities.

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What is SSA-3379-BK?

SSA-3379-BK, also known as the 'Social Security Administration’s Function Report - Adult – Third Party,' is a form used to gather information about a person's daily activities, capabilities, and limitations to assist in the evaluation of disability claims.

Who is required to file SSA-3379-BK?

SSA-3379-BK is typically required to be filed by individuals applying for Social Security disability benefits, as well as by third parties who can provide insights about the applicant's functional abilities.

How to fill out SSA-3379-BK?

To fill out SSA-3379-BK, you should provide detailed answers regarding the individual's daily activities, personal care, social interactions, and any limitations they face. It is important to be specific and accurate, providing examples where necessary.

What is the purpose of SSA-3379-BK?

The purpose of SSA-3379-BK is to collect comprehensive information about an individual's ability to function in daily life, which helps the Social Security Administration assess eligibility for disability benefits.

What information must be reported on SSA-3379-BK?

Information required on SSA-3379-BK includes the individual's daily activities, how their condition affects these activities, their social interactions, any assistance they require, and other relevant details that illustrate their functional limitations.