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Ou give us on this form will be used by the office that makes the disability decision on the child's claim. You can help them by completing as much of the form as you can. Print or type. Do not ask a doctor or hospital to complete this form. When we ask for certain numbers, such as dates and telephone numbers, we provide blocks to fill in. In these places, please print only one number in each block. For numbers under 10, put a zero in the first block for the month and/or day, as app.

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The Function Report (SSA-3373) helps DDS to obtain information about how an applicant's illness(es) and condition(s) affect their ability to function and perform everyday tasks.

Our application process includes steps to verify the identity of the signer, and we continue to protect the information and records we receive. When filing online, applicants can print a copy of the signed SSA-827 for their records.

What Is an SSA Function Report for Disability? The Adult Function Report for disability is a form the Social Security Administration uses to assess a claimant's physical and mental functioning. The SSA uses the Function Report to determine an individual's eligibility for disability benefits.

The Adult Function Report is often used by Social Security to discredit your claim. The ten-page form asks about your daily activities, personal care, meal prep, household and yard work, hobbies, and social activities.

Applying for Social Security Disability? Don't neglect your Function Report! Here are 5 Tips to help you! Be honest! ... Be thorough and don't procrastinate. ... Pay special attention to Question 5. ... Don't limit any of your answers because the form only has a few lines. ... Question 6 can make or break your claim.

The Adult Function Report is often used by Social Security to discredit your claim. The ten-page form asks about your daily activities, personal care, meal prep, household and yard work, hobbies, and social activities.

A Function Report helps DDS get information about how your illness and condition affect your ability to function and perform everyday tasks. It illustrates why you are disabled and can no longer work.

Submitting the SSA-455 In order to complete this form online, the beneficiary must have received a request for a Disability Update Report in the mail, have their SSN, current address and phone number, and have a valid email address.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232