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  • Function Report - Child Age 1 To 3rd Birthday. Use This Form To Complete A Function Report For A

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Function Report - Child Age 1 to 3rd Birthday. Filling Out The Function Report ... The information that you give us on this form will be used by the office that makes the disability decision on .

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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.

The information we ask for on this form tells us how you think the child's illnesses or injuries affect the way he or she does many of his or her usual activities.

The information we ask for on this form tells us how you think the child's illnesses or injuries affect the way he or she does many of his or her usual activities. Filling out the Function Report. Form SSA-3377-BK (02-2022) UF.

How to Fill Out an Adult Function Report for Disability (7 Tips) Answer Every Question and Be Honest! ... Answer Only the Questions Being Asked. ... Give as Much Detail as You Can. ... Be Consistent (Some Questions Overlap) ... Be Specific on Question 5 of the Function Report. ... Don't Limit Your Answers to the Space on the Form.

The SSA has an optional form called the Function Report that DDS uses when they are in need of additional information about how an applicant is able to function in everyday life.

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.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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