Form Ssa-3380-bk (12-2009) Ef (04-2010)
What is form ssa-3380-bk (12-2009) ef (04-2010)?
Form SSA-3380-BK (12-2009) EF (04-2010) is a document issued by the Social Security Administration (SSA) in the United States. It is a form used to gather information about a claimant's activities of daily living, medical history, and work history. The purpose of this form is to assess an individual's eligibility for disability benefits.
What are the types of form ssa-3380-bk (12-2009) ef (04-2010)?
Form SSA-3380-BK (12-2009) EF (04-2010) has two types:
Initial Application: This type is used when a claimant is applying for disability benefits for the first time.
Continuing Disability Review: This type is used when a claimant is undergoing a review of their disability benefits to determine if they still meet the eligibility criteria.
How to complete form ssa-3380-bk (12-2009) ef (04-2010)
To complete form SSA-3380-BK (12-2009) EF (04-2010), follow these steps:
01
Fill in your personal information, including your name, address, and Social Security number.
02
Provide details about your medical condition, including the diagnosis, treatments received, and any limitations it imposes on your daily activities.
03
Describe your work history, including the types of jobs you have had, the dates of employment, and any job-related limitations you experienced due to your medical condition.
04
Attach any relevant medical documentation or evidence that supports your disability claim.
05
Review the completed form for accuracy and make sure all necessary fields are filled.
06
Sign and date the form to certify that the information provided is true and accurate to the best of your knowledge.
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Questions & answers
How do I fill out an adult function report?
Be honest but don't exaggerate. Be specific about your limitations. If you do not clearly describe your limitations or give vague answers on your Adult Function Report, Social Security will take that to mean your disability really isn't that bad and you should have no problem returning to work.
Who fills out SSA 3373?
After you have made a Social Security Disability claim and have had your initial interview, you may be asked to fill out Form 3373-BK, the Adult Disability Report. This form is designed to be filled out by yourself, without the aid of medical or other professionals.
Why did I receive a SSA 3380 BK?
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.
How would you describe daily activities for disability?
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.
How do I answer a Social Security disability questionnaire?
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.
What happens after function report is sent into SSDI Dept?
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.
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