Form Ssa-3380-bk (12-2009) Ef (01-2013)

Legacy Society Membership Form - Memphis Jewish Home & Rehab - memphisjewishhome
Legacy Society Membership Form - Memphis Jewish Home & Rehab - memphisjewishhome
Legacy society membership form please return this form to: memphis jewish home & rehab legacy society 36 blueberry road cordova, tn 38018-7756 name address city state zip phone email i/we have established a planned gift to memphis jewish home &...
Fill Now

What is form ssa-3380-bk (12-2009) ef (01-2013)?

The form ssa-3380-bk (12-2009) ef (01-2013) is a document utilized by the Social Security Administration (SSA) to gather information for disability determinations. It is specifically designed to evaluate an applicant's work history and medical condition to determine eligibility for disability benefits.

What are the types of form ssa-3380-bk (12-2009) ef (01-2013)?

There are four types of form ssa-3380-bk (12-2009) ef (01-2013) based on the different individuals who may need to complete it: 1. Form ssa-3380-bk (12-2009) ef (01-2013) for adults applying for disability benefits. 2. Form ssa-3380-bk (12-2009) ef (01-2013) for children under age 18 applying for disability benefits. 3. Form ssa-3380-bk (12-2009) ef (01-2013) for adults claiming to be disabled as a result of human immunodeficiency virus (HIV) infection. 4. Form ssa-3380-bk (12-2009) ef (01-2013) for individuals seeking expedited reinstatement of their disability benefits.

Adults applying for disability benefits.
Children under age 18 applying for disability benefits.
Adults claiming to be disabled as a result of HIV infection.
Individuals seeking expedited reinstatement of their disability benefits.

How to complete form ssa-3380-bk (12-2009) ef (01-2013)

To complete form ssa-3380-bk (12-2009) ef (01-2013), follow these steps: 1. Provide personal information, including your name, contact details, and Social Security number. 2. Fill in your work history by providing details of your past jobs, including job titles, dates employed, and duties performed. 3. Describe your medical condition(s) and how they limit your ability to work. 4. Attach any relevant medical records or supporting documentation. 5. Review the completed form for accuracy and make sure all necessary sections are filled. 6. Sign and date the form before submitting it to the SSA for processing.

01
Provide personal information, including your name, contact details, and Social Security number.
02
Fill in your work history by providing details of your past jobs, including job titles, dates employed, and duties performed.
03
Describe your medical condition(s) and how they limit your ability to work.
04
Attach any relevant medical records or supporting documentation.
05
Review the completed form for accuracy and make sure all necessary sections are filled.
06
Sign and date the form before submitting it to the SSA for processing.

pdfFiller is a leading online platform that empowers users to effortlessly create, edit, and share documents online. With pdfFiller's unlimited fillable templates and powerful editing tools, you can easily complete the form ssa-3380-bk (12-2009) ef (01-2013) without any hassle. Whether you need to make changes to the form or collaborate with others, pdfFiller is the only PDF editor you'll ever need to efficiently get your documents done.

Video Tutorial How to Fill Out form ssa-3380-bk (12-2009) ef (01-2013)

Thousands of positive reviews can’t be wrong

Read more or give pdfFiller a try to experience the benefits for yourself
5.0
Excellent product never had an issue so can't tell you what support is like. Upload, fill and print
Quick and easy to work with. Have used other pdf products and this is best for the price.
Debbie
5.0
This is amazing!
This is amazing! This is amazing!! I love it so much! It is so easy to use and very easy to understand as well.
Kristen Celeski
5.0
Great service Great service, and extremely helpful.
Great service Great service, and extremely helpful. this is fantastic if you own a business or just need professional documents done. i love this and recommend it to all.
Brian Davis

Questions & answers

If SSA reaches out to your contacts, they will receive Form SSA-3380-BK or the Third Party Function Form. This does not mean that there is a problem with your application, but it does mean your case was not clear-cut. The form asks your contacts very detailed questions about your ability to function in daily life.
They will use the information you provide to help them decide whether or not your disability qualifies under their definitions and standards for disability benefits. They may also ask that your doctor fill out a similar form to help confirm your condition and abilities.
How to Answer Disability Questionnaires Write clearly and legibly. Avoid erasures as much as possible. Do not leave any section of the form blank (unless otherwise specified). Give consistent answers. Answer the questions truthfully. Follow the instructions on the form.
Policy. The SSA-11-BK is the paper form a potential payee completes to apply to be payee. Use the paper form only, when it is not possible to use eRPS. For example, we must take paper applications for applicants who do not have a Social Security Number (SSN).
Activities of daily living include any activity you engage in on a daily basis such as showering, brushing your teeth, house cleaning, shopping, etc. The SSA needs to know if your condition causes pain or difficultly when performing any daily activity.
Question 6 of the SSD Function Report can be tricky. It asks you to describe what you do from the time you wake up until you go to bed at night. Most people with disabilities have “good days” and “bad days”. Make sure you clearly identify and describe what you do on a good day and on a bad day.
Related templates
10-15-09 cc agenda.doc - cityofjoshuatx
10-15-09 cc agenda.doc - cityofjoshuatx
City of joshua city council meeting agenda thursday, october 15, 2009, work session 6:30 p.m. regular session 7:00 p.m. the joshua city council will hold a work session at 6:30 p.m. and a regular session at 7:00 p.m. at the city hall council...
Fill Now
REQUEST FOR FEE REDUCTION - Falls Church VA - fallschurchva
REQUEST FOR FEE REDUCTION - Falls Church VA - fallschurchva
City of falls church recreation and parks division 223 little falls street falls church, va 22046 7032485077 request for fee reduction instructions: to apply for a reduction or waiver of fees you must complete, sign and return this application...
Fill Now
Jim Berger, - carnationwa
Jim Berger, - carnationwa
City of carnationregular meeting of the carnation city councilproposed agendacity council:jim berger,mayorkim list,deputy mayorfred barnwelllee grummanerin chamberlaincity staff:phil messina,city managertim hewlett,city plannermary mad ole,city...
Fill Now