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FUNCTION REPORT ADULT Form SSA3373BK READ ALL OF THIS INFORMATION BEFORE YOU BEGIN COMPLETING THIS FORMIC YOU NEED Help you need help with this form, complete as much of it as you can and call the

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How to fill out ssa-3373 adult function report

Who needs ssa-3373 adult function report?

01

Individuals who are applying for Social Security Disability benefits and are aged 18 or older.

02

Individuals who have a medical condition that prevents them from working or having substantial gainful activity.

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What is ssa-3373 adult function report?

The SSA-3373 Adult Function Report is a form used by the Social Security Administration to assess an adult's ability to perform daily activities and work-related tasks when applying for Social Security disability benefits.

Who is required to file ssa-3373 adult function report?

Individuals applying for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits may be required to file the SSA-3373 Adult Function Report as part of their application process.

How to fill out ssa-3373 adult function report?

To fill out the SSA-3373 Adult Function Report, applicants should provide detailed information about their daily activities, limitations, medical conditions, and how these affect their ability to function. It is important to be thorough and provide specific examples.

What is the purpose of ssa-3373 adult function report?

The purpose of the SSA-3373 Adult Function Report is to gather comprehensive information about an individual's functionality and limitations to help the Social Security Administration make an informed decision regarding their disability benefits application.

What information must be reported on ssa-3373 adult function report?

The report requires information on daily activities such as personal care, household tasks, social interactions, and any limitations faced due to medical conditions. Additionally, it may ask about medications and treatment received.

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