Get Adult Function Report

The Adult Function Report is an essential document used to assess how your impairments affect your daily life and activities. Completing this form accurately will help the Social Security Administration make a timely decision on your disability claim.

Follow the steps to fill out the Adult Function Report

1. Press the ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by filling out Section A, General Information. Provide the name of the person with a disability, their social security number, the date, and your daytime telephone number. Select the type of residence and describe who you live with.
3. In Section B, Information About Daily Activities, describe your daily routine from waking up to going to bed. Include your caregiving responsibilities, any pets you care for, and how your conditions impact your sleep and personal care.
4. Continue with Section B by detailing your meals, household chores, ability to get around, shopping habits, and financial responsibilities. Be clear about any changes in abilities since your condition began.
5. In Section C, Information About Abilities, check items that your conditions affect, like lifting or walking. Provide detailed explanations for each checked item, and indicate how long you can maintain focus or if you've had difficulty getting along with others.
6. Use Section D, Remarks, to add any additional information that may not have been captured in previous sections. Ensure you complete the name and address fields at the bottom.
7. Once you have filled out the form, review all your responses for accuracy. You can then save changes, download, print, or share the form as needed.

Complete your Adult Function Report online today to ensure your disability claim is evaluated promptly.