Fill out Form SSA-3373 BK Online in 2025

Complete your disability report for Social Security benefits
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What is Form SSA-3373 BK?

Form SSA-3373 BK, also known as the "Function Report - Adult," is essential for individuals applying for Social Security Disability benefits. It helps the Social Security Administration (SSA) understand how a disability affects daily life and work activities. This form gathers information about a person's abilities, limitations, and needs. Completing it accurately is crucial because it directly influences the decision on whether benefits are granted, ensuring that those in need receive the support they require.

What is Form SSA-3373 BK used for?

Form SSA-3373 BK is used by the Social Security Administration to gather information about a person's daily activities and limitations. This form helps assess disability claims:

  • to describe daily activities.
  • to report any physical limitations.
  • to explain how conditions affect work.
  • to provide information about medical treatment.

How to fill out Form SSA-3373 BK?

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  1. 1

    Read the instructions on form SSA-3373 BK carefully to understand what information is required.

  2. 2

    Complete each section accurately, providing detailed information about your daily activities and limitations.

  3. 3

    Review your responses to ensure they are clear and concise.

  4. 4

    Check the signature requirements on official sources to ensure compliance.

  5. 5

    Submit the form according to the guidelines provided by the Social Security Administration.

Who is required to fill out Form SSA-3373 BK?

Individuals applying for Social Security disability benefits complete form SSA-3373 BK to provide information about their daily activities and limitations.

After completion, the Social Security Administration uses the form to evaluate disability claims and determine eligibility for benefits.

When is Form SSA-3373 BK not required?

You don't need to fill out form SSA-3373 BK if you are not applying for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits.

Additionally, individuals who are not experiencing any disabling conditions or who have not been advised to provide a disability report are also exempt from this form. Always consult the Social Security Administration guidelines for specific requirements related to your situation.

When is Form SSA-3373 BK due?

The deadline for form SSA-3373 BK is typically when you apply for Social Security Disability benefits. You should submit this form as soon as you file your application to ensure your case gets reviewed promptly.

Make sure to provide accurate information on the form. This helps in processing your application smoothly. If you have questions, the Social Security Administration's website can provide guidance.

How to get a blank Form SSA-3373 BK?

To get a blank SSA-3373 BK form, simply visit our platform. The form is pre-loaded in our editor, ready for you to fill out. Once completed, you can download it for your records.

How to sign Form SSA-3373 BK?

To sign form SSA-3373 BK, you will need to print the document after filling it out. Handwritten signatures are acceptable, so grab a pen and sign at the designated area.

After signing, review the form to ensure all information is accurate. It's a good idea to check for any updates on the SSA website before submission.

Where to file Form SSA-3373 BK?

The SSA-3373 BK form cannot be filed online. Instead, you must print and complete the form manually for submission.

Once completed, you can mail the form to your local Social Security office. Check their website for the correct address.

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Frequently asked questions

  • What should I include in Form SSA-3373 BK?

    Include detailed information about your medical conditions, how they limit your daily activities and work capabilities, and any medications you take along with their side effects. Be honest and specific, providing examples of how your condition affects you on both good and bad days.

  • How do I ensure accuracy when completing Form SSA-3373 BK?

    Ensure accuracy by being consistent in your answers, providing specific examples, and including all relevant details. If you need help, consider consulting with a disability attorney or a trusted friend or family member who understands your condition.

  • Can I make changes to Form SSA-3373 BK after filling it out?

    No, once you submit the form, you cannot make changes. However, you can submit additional evidence or statements to correct earlier answers, but the initial response remains.

  • What supporting documents do I need to attach with Form SSA-3373 BK?

    You should attach any supporting documents that detail your medical condition, such as medical records, doctor's notes, and any other relevant information that supports your claim.

  • How do I know if my SSA-3373 BK has been processed?

    You will typically receive a notification from the Social Security Administration (SSA) once your form has been processed. You can also check the status of your claim online through the SSA's website or by contacting them directly.

  • What should I do if my SSA-3373 BK is denied?

    If your form is denied, you should review the decision carefully and gather additional evidence to support your claim. Consider consulting with a disability attorney to help you appeal the decision and strengthen your application.

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