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Form SSA3380 (102020) Discontinue Prior Editions Social Security Administration Page 1 of 10 OMB No. 09600635FUNCTION REPORT ADULT THIRD PARTY Form SSA3380BKREAD ALL OF THIS INFORMATION BEFORE YOU
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The form SSA-3368-BK is the Adult Disability Report form that can be filled out online through the Social Security Administration website.
Individuals who are applying for Social Security disability benefits are required to file form SSA-3368-BK online.
To fill out form SSA-3368-BK online, you will need to visit the Social Security Administration website, create an account, and follow the instructions provided on the website to complete the form.
The purpose of form SSA-3368-BK is to gather information about the applicant's work history, medical conditions, and other details needed to evaluate their eligibility for disability benefits.
The form SSA-3368-BK requires information about the applicant's work history, medical conditions, medications, treatments, and any other relevant information related to their disability.
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