What is Ssa-3373-bk Fillable?

The Ssa-3373-bk Fillable form is a document used by the Social Security Administration to collect information about a person's work history and activities of daily living. It is an essential part of the disability application process, helping to determine eligibility for benefits.

What are the types of Ssa-3373-bk Fillable?

There are two main types of Ssa-3373-bk Fillable forms: the Adult Disability Report and the Child Disability Report. The Adult Disability Report is for individuals aged 18 or older applying for disability benefits, while the Child Disability Report is for children under 18.

Adult Disability Report
Child Disability Report

How to complete Ssa-3373-bk Fillable

Completing the Ssa-3373-bk Fillable form is a straightforward process that involves providing detailed information about your work history and daily activities. Here is a step-by-step guide to help you fill out the form accurately:

01
Gather all necessary information, such as your job history, medical conditions, and daily activities.
02
Carefully read and follow the instructions provided on the form.
03
Use a pen with blue or black ink to fill out the form neatly and legibly.
04
Review the completed form to ensure all information is accurate and complete before submitting it.

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Questions & answers

You can complete an application for Retirement, Spouse's, Medicare or Disability Benefits online. If you cannot submit your application online: You can call us at 1-800-772-1213 (TTY 1-800-325-0778). or. Due to the COVID-19 pandemic, visits to our offices are by appointment only for certain services.
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.
You can apply: Online. or. By calling our national toll-free service at 1-800-772-1213 (TTY 1-800-325-0778) or visiting your local Social Security office.
We will return any documents submitted with your application. For assistance call us at 1-800-772-1213 or visit our website at www.socialsecurity.gov.
Social Security Form SSA-3373-BK is a lengthy form that you fill out as a part of the process of applying for Social Security Disability benefits. It also goes by the Adult Disability Report or the 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.