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R Federal, State, or local government agencies. We use the information from these programs to establish or verify a person's eligibility for federally funded or administered benefit programs and for repayment of incorrect payments or delinquent debts under these programs. Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we di.

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How to fill out the SSA-3373-BK online

The SSA-3373-BK, also known as the Function Report - Adult, is a critical document used to understand how a person's condition limits their daily activities. Completing this form accurately is essential for the evaluation of disability claims.

Follow the steps to fill out the SSA-3373-BK online.

  1. Click ‘Get Form’ button to obtain the form and access it in the editor.
  2. Begin by providing the general information requested in Section A. Fill out your name, social security number, and contact information. Make sure to include your living situation and who you live with.
  3. In Section B, detail the information about your illnesses, injuries, or conditions. Clearly express how these conditions affect your ability to work.
  4. Moving to Section C, describe your daily activities from the time you wake up until you go to bed. Address how your conditions impact your personal care, meal preparation, household chores, and social activities.
  5. Proceed to Section D, where you will indicate how your conditions affect various abilities such as lifting, walking, and concentrating. Provide detailed explanations as needed.
  6. Utilize the Remarks section at the end of the form if you need to add any additional information that was not covered in the previous sections.
  7. Finally, review all the information submitted for accuracy. Once confirmed, save any changes, then download, print, or share the completed form as required.

Start completing your SSA-3373-BK online today for a smoother claims process.

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A medical decision has been made and we are working to process your benefit application. A Social Security Representative may contact you directly if we need any additional documents are needed. It means approval. Like. sleepygirl October 25, 2019 Reply.

A medical decision has been made and we are working to process your benefit application. A Social Security Representative may contact you directly if we need any additional documents are needed. It means approval.

Spinal Conditions Spinal disorders can come in many different forms and have varying medical causes. Some of the most common disabling problems include spinal stenosis, osteoarthritis, degenerative disc disease, spinal arachnoiditis, herniated discs, facet arthritis, and vertebral fracture.

#1 Easiest VA Disability Claim to Win: Tinnitus or ringing in the ear syndrome According to the 2018-2019 disability claims data, Tinnitus was the most commonly claimed disability for all Veterans with 157,152 compensation recipients. 93.6% of Veterans were rated between 0% and 10%.

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.

It is sometimes sent during appeals. It is also sent during Continuing Disability Reviews for people already approved. Social Security uses this form to learn a little more about how your illness limits you and to see if what you write about your limitations is similar to what your doctor writes.

Answer the Question. ... Don't Ramble or Go Off Subject. ... Be Specific About Your Symptoms and Limitations. ... Be Ready to Explain Gaps in Your Medical History. ... Be Prepared to Explain Bad Facts. ... Paint a Picture of Your Daily Living. ... Don't Be Embarrassed. ... Be Honest and Don't Exaggerate.

Explain how your condition affects your ability to: dress, bathe, care for hair, shave, feed self, use the toilet, other. Explain any reminders you need to take care of your personal needs and grooming. Explain any help or reminders you need to take medicine.

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.

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.

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SSA-3373-BK
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2020 SSA-3373 (Formerly SSA-3373-BK)
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  • Function Report- Adult. Function Report- Adult- Form SSA-3373-BK
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