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  • Ssa-3380-bk 2009

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FUNCTION REPORT - ADULT - THIRD PARTY Form SSA-3380-BK READ ALL OF THIS INFORMATION BEFORE YOU BEGIN COMPLETING THIS FORM IF YOU NEED HELP If you need help with this form, complete as much of it as.

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How to fill out the SSA-3380-BK online

The SSA-3380-BK is an essential form for individuals applying for Social Security benefits. This guide provides step-by-step instructions to help users effectively complete the form online, ensuring that all necessary information is accurately provided.

Follow the steps to successfully complete the SSA-3380-BK online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering your personal information in the designated fields. This includes your full name, Social Security number, and date of birth. Ensure that all details are accurate and spelled correctly.
  3. In the next section, provide information about your living arrangements. Specify whether you live alone or with others. If applicable, include details about your partner or household members.
  4. Continue by describing your work history and any relevant medical conditions. Be thorough in detailing how these conditions impact your daily life and ability to work.
  5. Review your responses carefully for accuracy and completeness. It is important to ensure all information reflects your current situation.
  6. Once satisfied with your entries, you can save changes, download a copy of the completed form, print it, or share it as needed.

Complete your SSA-3380-BK form online today for a smoother application process.

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Function Report- Adult - Social Security
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Contact the Social Security Administration to request a copy of your work history and dates. You will need Form 7050, which is available online. Check the Detailed Earnings Information box on the form.

You can view your personal Social Security Statement online by creating a my Social Security account with us. Your online Social Security Statement displays uncertified yearly earnings free of charge and does not show any employer information. To sign in or create an account, go to www.socialsecurity.gov/myaccount.

There are several different ways to find your work history information, including: ... Submitting a Request for Social Security Earnings Information Form (requires fee) with the Social Security Administration. Contacting previous employers' human resources departments.

1:02 7:51 Suggested clip How to Fill Out the Work History Report Form | Cleveland, Ohio ...YouTubeStart of suggested clipEnd of suggested clip How to Fill Out the Work History Report Form | Cleveland, Ohio ...

0:08 4:15 Suggested clip How do I fill out the Work History Report (Form SSA-3369)? - YouTubeYouTubeStart of suggested clipEnd of suggested clip How do I fill out the Work History Report (Form SSA-3369)? - YouTube

0:00 5:07 Suggested clip How do I fill out the Adult Function Report (Form SSA - 3373 - BK ...YouTubeStart of suggested clipEnd of suggested clip How do I fill out the Adult Function Report (Form SSA - 3373 - BK ...

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. ... If those medical records don't provide enough information to make a decision, then the SSA will typically ask you to fill out Form SSA-3373-BK.

Do not leave any answers blank. If you have no answer for a question, you should answer none or a similar response. This form is designed to use plain language so you can understand it yourself. You should not need special medical knowledge or professional skills to complete it.

0:00 5:07 Suggested clip How do I fill out the Adult Function Report (Form SSA - 3373 - BK ...YouTubeStart of suggested clipEnd of suggested clip How do I fill out the Adult Function Report (Form SSA - 3373 - BK ...

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.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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
SSA-3380-BK
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