Get Form Ssa 3377 Bk

Filling out the Form SSA 3377 BK, also known as the Function Report for children aged 3 to 6, is an essential step in the Social Security disability determination process. This guide will provide clear, step-by-step instructions to assist you in completing the form accurately and efficiently.

Follow the steps to fill out the Form SSA 3377 BK online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by providing identifying information in Section 1. Fill in the child's name, Social Security number, and date of birth. Include your name, relationship to the child, the date the form is completed, your daytime telephone number, and mailing address.
3. In Section 2, address each question regarding the child's functional capabilities. Start with questions about their ability to see, hear, and communicate. For each question, mark 'Yes' or 'No' and provide explanations in the designated blocks as needed.
4. Continue through Section 2, assessing the child’s physical abilities and behaviors, as well as their ability to manage personal needs. Answer all relevant questions and provide additional details in the remarks as necessary.
5. Once all sections are completed and you have provided detailed explanations for your answers where necessary, review the entire form for accuracy.
6. Finally, you can save your changes, download or print a copy of the form for your records, and share it as needed.

Start completing your Form SSA 3377 BK online today!