Get Ssa-3379-bk 2003

Filling out the SSA-3379-BK, also known as the Function Report for a Child aged 12 to 18, can seem overwhelming. This guide provides step-by-step instructions to help you complete the form accurately and efficiently while ensuring your child's needs are appropriately represented.

Follow the steps to fill out the SSA-3379-BK effectively

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin filling out Section 1, Identifying Information. Enter the child's full name, Social Security number, date of birth, and details of the person completing the form, including their relationship to the child and daytime telephone number.
3. In Section 2, Function Details, respond to each question regarding the child's abilities. For each question, indicate if the child has any issues with seeing, hearing, speaking, communicating, learning, physical abilities, social interactions, personal care, and attention. Make sure to provide explanations if you select 'yes' or 'not sure'.
4. If additional space is needed for any responses, use the 'REMARKS' section. Ensure you reference the question number for clarity.
5. Review all answers for accuracy and completeness. Ensure that you have explained all relevant points adequately and that no sections are left blank.
6. After completing the form, save your changes. You may also choose to download, print, or share the completed form as needed.

Start filling out the SSA-3379-BK online today to support the evaluation of your child's needs.