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  • Ssa-3380-bk 2003

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E in Social Security offices. 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 display a valid Office of Management and Budget control number. We estimate that it will take about 30 minutes to read the instructions, gather the facts, and answer the questions. SEND OR BRING THE COMPLETED FORM TO YOUR LOCAL SOCIAL SECURITY O.

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How to fill out the SSA-3380-BK online

This guide provides a comprehensive overview of how to complete the SSA-3380-BK, also known as the Function Report - Adult - Third Party, online. By following these detailed instructions, you can effectively gather and present the necessary information about the disabled individual’s activities and abilities.

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

  1. Press the ‘Get Form’ button to obtain the form and open it in your editor.
  2. Carefully read the provided instructions before starting. Ensure you understand what information is required to assist in making a decision on the disabled person's claim.
  3. Fill in section A with general information about the disabled person. This includes their name, Social Security number, your name, relationship to the disabled person, and your contact information.
  4. In section B, describe the disabled person's daily activities. Provide thorough answers to the questions regarding their routines, care responsibilities, and personal care abilities.
  5. Continue to section C to detail the abilities of the disabled person. Circle the areas affected by their conditions and provide explanations for each item.
  6. Use the remarks section to add any additional information that may not have been covered in previous sections. Be sure to indicate the relevant question numbers.
  7. Review all entered information to confirm accuracy and completeness. If any questions were left unanswered, make sure to provide appropriate responses, such as 'don't know' or 'does not apply' where necessary.
  8. Sign the form, ensuring you include the date, and fill out the witness information if applicable. This is important to validate the form.
  9. Finally, save your changes, and select your preferred option to download, print, or share the completed form.

Start your application and complete the SSA-3380-BK online today!

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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
Help Portal
Legal Resources
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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