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Get Ssa-3378-bk 2017-2026

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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