Function Report Adult SSA-3373 Form Instructions
This document provides detailed instructions for completing the SSA-3373 form, designed for adults applying for disability benefits. It includes guidelines for accurate reporting of functional capabilities and limits. Essential for claimants seeking assistance from the Social Security Administration.
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How do I fill this out?
Filling out the SSA-3373 form requires careful attention to detail. Begin by gathering all necessary information regarding the individual's abilities and activities. Follow the instructions closely to ensure a complete and accurate submission.
How to fill out the Function Report Adult SSA-3373 Form Instructions?
1
Read the instructions carefully.
2
Provide personal information accurately.
3
Detail limitations and daily activities.
4
Review your answers for completeness.
5
Submit the form to the appropriate office.
Who needs the Function Report Adult SSA-3373 Form Instructions?
1
Individuals applying for Social Security disability benefits.
2
Family members assisting disabled individuals.
3
Caregivers who monitor the disabled person's daily activities.
4
Health professionals providing treatment and support.
5
Legal representatives helping clients with disability claims.
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2
Use the editing tools to make necessary changes.
3
Add comments or notes where needed.
4
Review your edits carefully.
5
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What are the instructions for submitting this form?
To submit the SSA-3373 form, send it to your local Social Security office. You can find the address and contact information for your office by visiting the Social Security Administration website or by calling 1-800-772-1213. Fax submissions are also accepted; check with your local office for specific fax numbers.
What are the important dates for this form in 2024 and 2025?
The SSA-3373 form was released in February 2024. Regular updates and revisions are expected yearly; please confirm any changes before submission.
What is the purpose of this form?
The purpose of the SSA-3373 form is to gather information about an individual’s ability to perform daily activities and tasks. The form aids the Social Security Administration in evaluating disability claims efficiently. Accurate completion is vital for determining eligibility for benefits.
Tell me about this form and its components and fields line-by-line.
- 1. Name of Disabled Person: Full name of the individual applying for disability benefits.
- 2. Social Security Number: Unique identification number for the disabled individual.
- 3. Daytime Telephone Number: Contact number for any follow-up or clarifications.
- 4. Living Situation: Details about residence type and who the individual lives with.
- 5. Limitations: Specific ways in which illnesses or injuries limit daily functioning.
What happens if I fail to submit this form?
Failure to submit the SSA-3373 form may result in delays in the evaluation of your disability claim. Consequently, your entitlement to benefits could be jeopardized. Timely and accurate submission is crucial for an efficient decision-making process.
- Delayed Processing: Failure to submit can lead to prolonged waiting times for your benefits.
- Ineligibility for Benefits: Incomplete or missing forms may render you ineligible for necessary assistance.
- Inaccurate Claims Decisions: Missing information can result in misunderstandings about your disability status.
How do I know when to use this form?
- 1. Disability Claims: Required for individuals seeking disability benefits.
- 2. Re-evaluations: Necessary if there are changes in your health condition.
- 3. Supporting Documentation: Used to clarify and detail the extent of disabilities.
Frequently Asked Questions
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Are there any specific requirements for filling out this form?
Yes, ensure you provide accurate and complete information about daily activities and limitations.
How long will it take to fill out the SSA-3373 form?
The estimated time to complete the form is about 61 minutes.
What if I forget to fill out a section?
Make sure to complete all sections; if something does not apply, indicate it clearly.
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Yes, you can download the edited version of your SSA-3373 PDF.
Where can I find instructions for this form?
Instructions are included within the PDF and can also be accessed online.
What should I do with the completed form?
Submit the completed SSA-3373 form to your local Social Security office.
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