2025 Printable Template
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Form last updated: 03/2024. Please verify this is the current version before use.
Easily complete & submit your SSA-3373-BK form
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What is a SSA-3373-BK used for?
Form SSA-3373-BK, also known as the Function Report - Adult, is used by the Social Security Administration to assess how an individual's disability affects their daily living and work capabilities. This information is essential for determining eligibility for Social Security Disability benefits.
Who needs to fill out a SSA-3373-BK form
Individuals who have applied for Social Security Disability benefits and are requested by the SSA to provide additional information about their daily functioning.
How to fill out a SSA-3373-BK online?
Follow these steps to complete your SSA-3373-BK form online.
Frequently Asked Questions
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Include detailed information about your medical conditions, how they impact your daily life and work, and any medications you are taking.
Once submitted, you cannot alter the form. However, you can provide additional evidence if requested by the SSA.
You will receive a notification from the SSA once your form is processed, or you can check your claim status online.
