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This version of the form is not currently in use and is provided for reference only. Download this version of
Form SSA-3373
for the current year.
Form SSA-3373 Function Report - Adult
What Is Form SSA-3373?
This is a legal form that was released by the U.S. Social Security Administration on June 1, 2020 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form SSA-3373?
A: Form SSA-3373 is a function report for adults. It is used by the Social Security Administration to determine your ability to work.
Q: Who needs to fill out Form SSA-3373?
A: If you are an adult applying for disability benefits or have applied and are asked to complete this form, you need to fill out Form SSA-3373.
Q: What is the purpose of Form SSA-3373?
A: The purpose of Form SSA-3373 is to gather information about your daily activities, work history, and ability to function in order to evaluate your claim for disability benefits.
Q: What information is required on Form SSA-3373?
A: Form SSA-3373 asks for information about your daily activities, your ability to perform various tasks, your work history, and any treatments or therapies you are undergoing.
Q: How should I fill out Form SSA-3373?
A: You should answer all the questions on Form SSA-3373 honestly and in as much detail as possible. Provide specific examples and describe any difficulties you have in performing tasks.
Q: Do I need to submit any other forms along with Form SSA-3373?
A: Depending on your situation, you may need to submit additional forms or documentation to support your disability claim. It is best to consult with a Social Security representative or your disability attorney for guidance.
Q: Is Form SSA-3373 available in languages other than English?
A: Yes, Form SSA-3373 is available in multiple languages. You can request a translated version from the Social Security Administration.
Q: What should I do after filling out Form SSA-3373?
A: After filling out Form SSA-3373, submit it to the Social Security Administration as instructed. Follow any further instructions provided to you by the Social Security Administration regarding your disability claim.
Form Details:
- Released on June 1, 2020;
- 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-3373 by clicking the link below or browse more documents and templates provided by the U.S. Social Security Administration.
Download Form SSA-3373 Function Report - Adult
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