SSA-3379-BK 2003 free printable template

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

How to fill out SSA-3379-BK

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.

Instructions and Help about SSA-3379-BK

Heather this is Jonathan Ginsberg I'd like to talk to you today about Social Security disability claims based on a condition known as schizophrenia now schizophrenia is a very, very serious mental illness, and generally it means that a person has lost touch with reality for a significant portion of the day or week or whatever it may be it doesn't mean that that person is always out of touch with reality but for a significant amount of time and certainly enough time that would prevent competitive work this person is lost touch with reality and sometimes that can mean anything from hearing things or seeing things or perceiving the world in a very odd way that can be grounds for finding a person disabled and there's a couple different ways to win on schizophrenia one obviously is to meet the listing I believe it's a 12-point oh three where you have to document that you not only have this diagnosis but your ability to function and things like activities of daily living have been severely compromised the second way to win a schizophrenia case is even if you don't meet the listing to argue your functional capacity for work has been so reduced by the symptoms you're experiencing that you would not be reliable even a simple entry-level job, and literally I'm talking about a simple one or two-step job being a ticket taker to a movie theater assembling small parts surveillance system monitor as a cashier something like that where basically you're not having not being in touch with reality to the point where you would not be able to focus and concentrate and get through a workday eight hours a day five days a week now the thing I find in cases involving schizophrenia is normally my clients are under the care of a psychiatrist they're receiving medications and again sometimes the medications can control the symptoms sometimes they can and so what judges are typically looking for situations where a person has been under treatment from a psychiatrist that he is he or she has tried different medications that the medications either work for only a short period of time then they lose their effectiveness or the person the doctor has been trying different medications over six eight ten months without success in controlling the symptoms and generally when I go to hearing again I'm looking for a medical record that shows that the doctor has not been successful over six months say typically about six months at least of controlling the symptoms that the doctors medical records indicate that there's been a real problem keeping these symptoms under control and a very descriptive annotation about the various symptoms so that we know what's going on what the problems are and again a lot of times it's seeing things or not they're hearing voices perceiving that somebody's following you think like that now also what I do in terms of evidence is normal in cases involving schizophrenia because my client a lot of times is not perceiving all the issues going on a lot of times...

People Also Ask about

What is considered a disability ing to Social Security?

To meet our definition of disability, you must not be able to engage in any substantial gainful activity (SGA) because of a medically determinable physical or mental impairment(s) that is either: Expected to result in death. Has lasted or is expected to last for a continuous period of at least 12 months.

How hard is it to get disability in Michigan?

Your condition must limit your ability to work for at least 12 months to qualify. You will also have to show an adequate work history, meaning you have paid enough in taxes to qualify to receive assistance. The minimum amount of time that an individual must work is typically 10 years.

What conditions are considered a disability?

The legal definition of disability They have a physical or mental impairment, and. the impairment has a substantial and long-term adverse effect on the person's ability to carry out normal day-to-day activities.

Can you get disability for depression?

Yes. Depression is a type of mental health disorder that can impact your mood, thoughts and feelings, weight, sleeping habits, energy level, and ability to function. If you have depression that interferes with your ability to work, then you may be eligible for Social Security disability benefits, like SSDI and SSI.

What are the 3 steps of SSDI application?

Below, we will walk you through the initial steps of your SSD application. Step 1: Intent to File. Step 2: Verifying Your FICA Contributions. Step 3: Proving Your Disability. Step 4: Wait for SSA to Process Your Application.

Can I get disability for anxiety?

Is anxiety a disability? Yes, the Social Security Administration (SSA) considers anxiety as a disability. However, people with anxiety may find it challenging to prove that their condition qualifies them for monthly disability benefits.

How much disability can you get for anxiety?

The 70 percent disability rating criterion for depression and anxiety is the most inclusive insofar as it represents a wide array of symptoms, including a progression of symptoms noted in the lower disability ratings.

What type of anxiety qualify for disability?

Anxiety disorders like OCD, panic disorders, phobias, or PTSD are considered a disability. Therefore, they can qualify for Social Security disability benefits. Individuals must prove that it is so debilitating that it prevents them from working.

What do you say when applying for disability?

Describe Your Abilities and Medical Treatments Your ability to walk, lift, stand, talk, and many more, will be used to determine if you can still work. And if so, what kind of work you can do. This will affect your eligibility for disability benefits as well as how much benefits you're entitled to.

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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.