Ssa-3380-bk

What is ssa-3380-bk?

SSA-3380-BK is a form used by the Social Security Administration to collect information about an individual's work history and medical condition. It is also known as the Function Report - Adult - Third Party form. This form is an important part of the disability application process, as it helps determine if an individual is eligible for Social Security Disability benefits. It asks questions about the individual's ability to perform daily activities, work-related tasks, and any medical conditions that may affect their ability to work.

What are the types of ssa-3380-bk?

There are two types of SSA-3380-BK forms: the adult form and the child form. The adult form is used for individuals aged 18 and older, while the child form is used for individuals under the age of 18. Both forms serve the same purpose of collecting information about the individual's work history and medical condition.

Adult form (18 and older)
Child form (under 18)

How to complete ssa-3380-bk

Completing the SSA-3380-BK form is an important step in the disability application process. Follow these steps to complete the form correctly:

01
Read the instructions carefully.
02
Provide accurate and detailed information about your work history and medical condition.
03
Be specific when describing your limitations and difficulties in performing daily activities and work-related tasks.
04
Attach any relevant medical records or supporting documents.
05
Review the completed form for any errors or omissions before submitting.

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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.
Be Specific on Question 5 You need to show exactly how your disability impacted you at your specific job. Here are some examples of what you could include in this section of the SSD Function Report: I could no longer type on a keyboard or write memos.
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.
Third Party Adult Function Report is a form that Social Security sometimes send to your contact person. This form is usually sent out two or three months after you first apply. It is also sometimes used during Continuing Disability Reviews, for people who are already on disability.
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.
How to complete an SSA 3380 BK (Step by Step) Describe what the disabled person does from time he/she wakes up until going to bed. Indicate whether the person takes care of another person. Indicate whether the person cares for other people or animals.