Get Form Ssa-3380-bk

The Form SSA-3380-BK is used to report how a person's disabilities affect their daily activities and abilities. Completing this form accurately is essential for the assessment of the individual's disability claim, and this guide will assist you in navigating the form step-by-step.

Follow the steps to successfully fill out the Form SSA-3380-BK online.

1. Press the ‘Get Form’ button to access the form and open it in your online editor.
2. Begin by filling out Section A, which includes information about the disabled person and yourself. Provide their name, your name, your relationship to the disabled person, the date, and your daytime telephone number.
3. Answer questions regarding how long you have known the disabled person and the quality of the time you spend together. Specify their living arrangements.
4. In Section B, detail the illnesses, injuries, or conditions affecting the individual's ability to work. Be thorough in your descriptions.
5. Proceed to Section C to describe the person's daily activities, including personal care, meal preparation, household chores, and getting around.
6. Section D requires you to outline how the disabilities affect various abilities like lifting, walking, and memory. Be specific about any aids the person uses.
7. Utilize the 'Remarks' section on Page 8 for any additional information or clarifications you may need to include.
8. Complete the final fields on Page 8 with your name, address, and the date. Ensure all sections are answered to the best of your knowledge.
9. After confirming all details are correct, you can save the changes, download the form, print it, or share it as needed.

Start completing the Form SSA-3380-BK online to help support the disability claim.