Form SSA-3376-BK Function Report - Child Age 1 to 3rd Birthday

What Is Form SSA-3376-BK?

This is a legal form that was released by the U.S. Social Security Administration on January 1, 2022 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

• Released on January 1, 2022;
• The latest available edition released by the U.S. Social Security Administration;
• Easy to use and ready to print;
• Yours to fill out and keep for your records;
• Compatible with most PDF-viewing applications;
• Fill out the form in our online filing application.

Download a fillable version of Form SSA-3376-BK by clicking the link below or browse more documents and templates provided by the U.S. Social Security Administration.