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  • Function Report Adult Third Party - Free-government-forms ...

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Form SSA-3380-BK (12-2009) ef (04-2010) Destroy prior editions. SOCIAL SECURITY ADMINISTRATION FUNCTION REPORT- ADULT ... YOUR NAME (Person completing the form) 3.

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How to fill out the Function Report Adult Third Party online

Filling out the Function Report Adult Third Party (Form SSA-3380-BK) is an important step in providing necessary information for a disabled person's claim. This guide offers clear and user-friendly instructions for completing the form online.

Follow the steps to effectively complete the function report.

  1. Click the ‘Get Form’ button to obtain the form and open it in an online editor.
  2. Begin by providing basic information in Section A. Fill in the name of the disabled person, your name, relationship to the disabled person, date, and contact information. Ensure that every field is completed as instructed.
  3. In Section B, give detailed descriptions of the disabled person's illnesses, injuries, or conditions and how these limit their ability to work. Provide as much specific information as possible to support their claim.
  4. Proceed to Section C, which focuses on daily activities. Describe the individual's routines, responsibilities, and how their conditions affect personal care, meal preparation, household work, and mobility.
  5. Move to Section D, where you will assess the individual's abilities. Check the items affected by their conditions, explain how their limitations impact daily tasks, and describe any assistive devices used.
  6. If there are additional remarks or explanations needed, use Section E to provide any extra information relevant to the form.
  7. After completing all sections, review your responses for accuracy. Users can then save changes, download, print, or share the completed form as necessary.

Complete the Function Report Adult Third Party online to help advance the claims process.

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A Function Report is a multi-page questionnaire about an applicant's activities and how their disabilities impact their daily lives.

9 tips for filling out the function report Keep your answers consistent. ... Start with question 20. ... Answer questions directly. ... Talk about your average or worst days. ... Be honest and don't exaggerate. ... Send additional information as quickly as possible. ... Talk about all conditions that keep you from working.

The Function Report (SSA-3373) helps DDS to obtain information about how an applicant's illness(es) and condition(s) affect their ability to function and perform everyday tasks.

A Function Report is a multi-page questionnaire about an applicant's activities and how their disabilities impact their daily lives.

Question 6 of the SSD Function Report can be tricky. It asks you to describe what you do from the time you wake up until you go to bed at night. Most people with disabilities have “good days” and “bad days”. Make sure you clearly identify and describe what you do on a good day and on a bad day.

Questions 7 and 8 Section 7 and 8 of the Adult Function Report ask whether you take care of anyone else, either humans or animals. The SSA asks about whether you care for others because this is an ability that suggests you might not need to file a disability claim. It is important to be honest if you care for others.

A Function Report helps DDS get information about how your illness and condition affect your ability to function and perform everyday tasks. It illustrates why you are disabled and can no longer work.

Key Takeaways Third party is also used to refer to outsourcing certain functions to an outside company to ensure efficient service for clients.

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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