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  • Ssa-3378-bk 2017

Get Ssa-3378-bk 2017-2025

is available in our Privacy Act System of Records Notices entitled, Claims Folders Systems, 60-0089. Additional information about this and other system of records notices and our programs are available on-line at www.socialsecurity.gov or at your local Social Security office. 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 .

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How to fill out the SSA-3378-BK online

Completing the SSA-3378-BK form is an essential step in the process of determining a child's benefit eligibility. This guide will provide you with clear, step-by-step instructions to ensure you fill out the form accurately and thoroughly.

Follow the steps to effectively complete the SSA-3378-BK form.

  1. Click the ‘Get Form’ button to access the SSA-3378-BK form and open it in your preferred document management tool.
  2. Begin with Section 1, identifying information. Enter the child's name, Social Security number, and date of birth. Provide your name, relationship to the child, date the form is completed, your daytime telephone number, and mailing address.
  3. Proceed to Section 2, function details. Answer questions regarding the child's visual, hearing, and communication abilities. Mark 'yes' or 'no' as applicable, and describe any additional issues in the provided spaces.
  4. Continue through Section 2, evaluating the child's ability to learn, physical abilities, behavior with others, and capacity to manage personal needs. Each subsection requires similar responses of 'yes,' 'no,' or 'not sure' along with explanations if necessary.
  5. At the end of Section 2, question J, provide any additional information about the child that may be relevant for their claim.
  6. Utilize the 'Remarks' section at the end of the form to elaborate on any of your answers or provide additional details.
  7. After completing the form, review all entries for accuracy. Save your changes, and you can then choose to download, print, or share the completed form as required.

Complete your SSA-3378-BK form online today to ensure prompt processing of your child's claim.

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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