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FUNCTION REPORT ADULT THIRD PARTY Form SSA3380BK READ ALL OF THIS INFORMATION BEFORE YOU BEGIN COMPLETING THIS FORM IF YOU NEED HELP HOW TO COMPLETE THIS FORM The information that you give on this.

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List people who know your daily life and functioning well and are willing to answer questions about it. Social Security asks for three people, but if you do not have three people who know about your daily functioning, you can list one person and write that there is no one else who knows your condition well.

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 Form SSA 3380-BK is known as a Third Party Adult Function Report. This form will need to be filled out by a third party such as a friend or family member. It cannot be a medical professional. This person should be close to you, as this form asks very personal questions.

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 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.

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

List people who know your daily life and functioning well and are willing to answer questions about it. Social Security asks for three people, but if you do not have three people who know about your daily functioning, you can list one person and write that there is no one else who knows your condition well.

Third Party Adult Function Report is a form that Social Security sometimes send to your contact person. This form is usually sent out two or three months after you first apply. It is also sometimes used during Continuing Disability Reviews, for people who are already on disability.

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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
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
Function Report Third Party
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2020 SSA-3380-BK
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