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.
This is a legal form that was released by the U.S. Social Security Administration on October 1, 2020 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form SSA-3373?
A: Form SSA-3373 is a Function Report for adults.
Q: Who is required to fill out Form SSA-3373?
A: Adult individuals who are applying for or receiving disability benefits from the Social Security Administration (SSA) are required to fill out Form SSA-3373.
Q: What is the purpose of Form SSA-3373?
A: The purpose of Form SSA-3373 is to collect information about the everyday activities and abilities of individuals applying for or receiving disability benefits. This information helps the SSA evaluate the individual's ability to work and determine their eligibility for benefits.
Q: What kind of information is asked in Form SSA-3373?
A: Form SSA-3373 asks for information about the individual's daily activities, ability to do tasks such as lifting, standing, and sitting, and their medical condition and treatment.
Q: Do I need to submit additional medical records with Form SSA-3373?
A: It is helpful to submit any relevant medical records, test results, or supporting documentation with Form SSA-3373 to support your disability claim.
Q: How long does it take to complete Form SSA-3373?
A: The time it takes to complete Form SSA-3373 varies depending on the individual and the level of detail provided. It is important to take the time to accurately complete the form.
Q: What should I do if I have questions or need assistance with Form SSA-3373?
A: If you have questions or need assistance with Form SSA-3373, you can contact the Social Security Administration or seek help from a disability advocate or attorney.
Form Details:
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.