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This is a fillable PDF form that you can use to report your activities and abilities to Social Security for a disability claim. It has instructions, questions, and spaces to explain your answers.

Form SSA-3373 provides crucial information about your medical condition and whether or not it qualifies you for Social Security Disability (SSD) benefits. The information you provide on your …

a payment under the Social Security Act, or knowingly conceals or fails to disclose an event with an intent to affect an initial or continued right to payment, commits a crime punishable under …

Learn why form SSA-3373 or “Function Report” is important for your Social Security Disability (SSD) application and how to complete it accurately and honestly. Find out how the SSA uses …

determining a payment under the Social Security Act, or knowingly conceals or fails to disclose an event with an intent to affect an initial or continued right to payment, commits a crime …

Apr 10, 2024 · Navigating the complexities of a Social Security Administration (SSA) disability case can be daunting, especially when it comes to filling out the essential Function Report …

Anyone who makes or causes to be made a false statement or representation of material fact for use in determining a payment under the Social Security Act, or knowingly conceals or fails to …

Matthew Shupe explains step-by-step how to fill out the Adult SSA Function Report form (SSA-3373) to strengthen your disability case.

After you have made a Social Security Disability claim and have had your initial interview, you may be asked to fill out Form 3373-BK, the Adult Disability Report. This form is designed to be …

Nov 12, 2019 · The Social Security Administration (SSA) requires applicants to complete the SSA 3373, or the Adult Function report, for every disability claim. Forms and documentation that …

Apr 8, 2024 · One important form is the Adult Function Report (Form SSA-3373) used by the Social Security Administration (SSA) to evaluate your physical health and mental well-being. In …

A Form SSA 3373-BK is known as an Adult Function Report. This form will be used by the Social Security Administration to determine whether or not someone is eligible for social security …

If you need the address or phone number for the office that provided the form, you can get it by calling Social Security at 1-800-772-1213. The information that you give us on this form will be …