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FUNCTION REPORT ADULT THIRD PARTY Form SSA3380BK READ ALL OF THIS INFORMATION BEFORE YOU BEGIN COMPLETING THIS FORM IF YOU NEED HELP TO COMPLETE THIS FORM The information that you give on this form

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How to fill out function report adult third

01

To fill out the function report adult third, follow these steps:

02

Start by providing the necessary personal information of the adult.

03

Specify the date of the report and any relevant case numbers.

04

Detail the individual's daily activities and their ability to perform them independently.

05

Document any challenges or limitations the person faces in their daily life.

06

Describe any assistive devices or aids the individual uses.

07

Mention the person's social functioning and ability to interact with others.

08

Include information about their mental health and cognitive abilities.

09

Explain how their impairments affect their ability to work and carry out tasks related to employment.

10

Provide any supporting medical or professional documentation to validate the information.

11

Sign and date the report to affirm its accuracy.

12

Make sure to review the completed report for any errors or missing information before submitting.

Who needs function report adult third?

01

The function report adult third is required for individuals who are applying for or receiving disability benefits from programs like Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI). This report helps to assess the functional limitations and capabilities of the adult to determine their eligibility for disability benefits.

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