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  • Function Report- Adult. Function Report- Adult- Form Ssa-3373-bk

Get Function Report- Adult. Function Report- Adult- Form Ssa-3373-bk

Form SSA3373 (062020) Discontinue Prior Editions Social Security AdministrationPage 1 of 10 OMB No. 09600681FUNCTION REPORT ADULT READ ALL OF THIS INFORMATION BEFORE YOU BEGIN COMPLETING THIS FORM.

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How to fill out the Function Report- Adult - Form SSA-3373-BK online

Completing the Function Report- Adult (Form SSA-3373-BK) is an essential step in providing the Social Security Administration with a comprehensive view of your daily activities and limitations. This guide will help you navigate the online process of filling out this important form.

Follow the steps to effectively complete your Function Report- Adult.

  1. Press the ‘Get Form’ button to access the form online and open it for editing.
  2. Begin by filling out Section A, which includes your general information. Provide the name of the person with a disability, social security number, and daytime contact information.
  3. In Section B, describe how your illnesses, injuries, or conditions limit your ability to work. Be as detailed as possible.
  4. Proceed to Section C, which focuses on your daily activities. Answer questions regarding your routine from waking up to going to bed, including personal care, meals, and household chores.
  5. Continue to Section D where you will detail how your conditions affect your abilities across various areas such as lifting, walking, and following instructions.
  6. If necessary, utilize the ‘Remarks’ section on Page 10 to provide any additional information that was not covered in the previous sections.
  7. Finally, review all your entries for accuracy, then save and download the completed form. You may also print or share it as needed.

Complete your Function Report- Adult online today to ensure your disability claim is processed efficiently.

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Get Function Report- Adult. Function Report- Adult- Form SSA-3373-BK
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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
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
Function Report- Adult. Function Report- Adult- Form SSA-3373-BK
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