What is a function report?

A Function Report is a multi-page questionnaire about an applicant's activities and how their disabilities impact their daily lives.

How do you describe your activities when applying for disability?

The first and most important rule is to always be honest about your activities. Be honest with Social Security, but also be honest with yourself. Many people find it difficult to admit/acknowledge to themselves what their struggles are and how limited they have become.

What qualifies as being disabled?

The law defines disability as the inability to engage in any substantial gainful activity (SGA) by reason of any medically determinable physical or mental impairment(s) which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months.

Can I print out a Social Security disability application?

You can do this electronically as part of the online Disability application, or you can print, sign, and send the form to your Social Security office.

How do I fill out a disability function report?

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What form does the doctor fill out for disability?

A residual functional capacity (RFC) form can help you with your Social Security Disability claim at both the initial application phase and the appeal hearing level. It is a good idea to have this form completed by your treating physician at the beginning of your claim for Social Security Disability or SSI.

What is a disability check called?

Social Security Disability Insurance (SSDI) supports individuals who are disabled and have a qualifying work history, either through their own employment or a family member (spouse/parent).

What is a disability function report?

The Adult Function Report examines how your disability affects your day-to-day life. Also referred to as an ADL (activities of daily living) questionnaire, the Adult Function Report is officially known as Function Report SSA-3373.

What is a disability report?

The Adult Disability Report (ADR) is one of several forms you're required to complete when you file an application for Social Security disability benefits. Made up of eleven sections over almost fifteen pages, the ADR asks for detailed information about your education, work history, and medical treatment.

What conditions are considered for disability?

For adults, the medical conditions that qualify for SSDI or SSI include: Musculoskeletal problems, such as back conditions and other dysfunctions of the joints and bones. Senses and speech issues, such as vision and hearing loss. Respiratory illnesses, such as asthma and cystic fibrosis.

Get Disability Report

METRO PAYEE SERVICES INC. P 0 Box 270190 St Paul MN 55127 651 407-0526 Fax 651 653-3227 CONTINUING DISABILITY UPDATE REPORT Periodically Social Security conducts Disability Update Reviews to confirm your continuing disability eligibility. Some of the information they require can only be provided by the client. Please complete the following information and return this form to our office. If at any time during a review we are unable to satisfactorily answer their questions they will place a hold on your benefits until the information is provided* Therefore in an effort to help avoid any potential benefit delays we are now gathering information for your file. This information is considered private and will not be shared with any other sources. YIN Resource Resource Value Additional Info Stocks/Bonds Value Certificates of Deposit Mutual Funds Burial Funds/Policy Annuity/IRA Savings Account Balance Bank Name Checking Account Cash on hand Property/Real Estate Location CarsNehicles Make/Model/YearNalue Rental Properties Income Married Single Widowed Not married but living as a mutually declared married couple SSI recipients only Been out of the state or country for more than one calendar month Been in a hospital/treatment facility/correctional facility for more than one calendar month smce 2012 Date Income from any other source other than county Value/Source MSA EBT Food Stamps MFIP child/ren s name Energy Assistance Vendor Telephone Assistance List any dependent children/dates of birth living with you Please use the back of this form for this information DOB CLIENT S NAME SS ADDRESS CITY PHONE MN CASE MANAGER COUNTY FINANCIAL WORKER WORKING EMPLOYER Y N- Mthly Gross Wages YOUR BIRTHPLACE City/St ZIP COUNTY AFFILIATE Hourly wage AVG WKLY HOURS CITY/ZIP MOTHER S MAIDEN NAME SIGNATURE DATE Thank you for your cooperation in completing this form* Please advise immediately if any information changes. Some of the information they require can only be provided by the client. Please complete the following information and return this form to our office. If at any time during a review we are unable to satisfactorily answer their questions they will place a hold on your benefits until the information is provided* Therefore in an effort to help avoid any potential benefit delays we are now gathering information for your file. If at any time during a review we are unable to satisfactorily answer their questions they will place a hold on your benefits until the information is provided* Therefore in an effort to help avoid any potential benefit delays we are now gathering information for your file. This information is considered private and will not be shared with any other sources. YIN Resource Resource Value Additional Info Stocks/Bonds Value Certificates of Deposit Mutual Funds Burial Funds/Policy Annuity/IRA Savings Account Balance Bank Name Checking Account Cash on hand Property/Real Estate Location CarsNehicles Make/Model/YearNalue Rental Properties Income Married Single Widowed Not married but living as a mutually declared married couple SSI recipients only Been out of the state or country for more than one calendar month Been in a hospital/treatment facility/correctional facility for more than one calendar month smce 2012 Date Income from any other source other than county Value/Source MSA EBT Food Stamps MFIP child/ren s name Energy Assistance Vendor Telephone Assistance List any dependent children/dates of birth living with you Please use the back of this form for this information DOB CLIENT S NAME SS ADDRESS CITY PHONE MN CASE MANAGER COUNTY FINANCIAL WORKER WORKING EMPLOYER Y N- Mthly Gross Wages YOUR BIRTHPLACE City/St ZIP COUNTY AFFILIATE Hourly wage AVG WKLY HOURS CITY/ZIP MOTHER S MAIDEN NAME SIGNATURE DATE Thank you for your cooperation in completing this form* Please advise immediately if any information changes.

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