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SSA-3380-BK 2017 free printable template

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How do this person s illnesses injuries or conditions limit his/her ability to work Form SSA-3380-BK 12-2009 ef 01-2013 Use 12-2009 Edition Until Supply Exhausted Page 1 9. FUNCTION REPORT - ADULT - THIRD PARTY Form SSA-3380-BK READ ALL OF THIS INFORMATION BEFORE YOU BEGIN COMPLETING THIS FORM IF YOU NEED HELP HOW TO COMPLETE THIS FORM The information that you give on this form will be used to make a decision on the disabled person s claim. You can help by completing as much of the form as...
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How to fill out how to form ssa

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How to fill out the SSA form:
01
Start by reading the instructions carefully to make sure you understand what information is required.
02
Provide your full legal name, including any middle names, and your Social Security Number.
03
Enter your date of birth, place of birth, and citizenship status.
04
Indicate whether you have ever applied for a Social Security Number before.
05
Provide your current mailing address and telephone number, as well as your email address if you have one.
06
Fill in your parents' names, including their Social Security Numbers if known.
07
Answer the questions about your work history, including your current and previous employers.
08
Indicate whether you have ever received any government benefits, such as disability or unemployment.
09
Sign and date the form, and submit it to the Social Security Administration.

Who needs the SSA form?

Anyone who is applying for a Social Security Number for the first time, or who needs to update their information with the Social Security Administration, will need to fill out the SSA form. This includes US citizens, permanent residents, and non-residents who are legally authorized to work in the United States.

Who needs a SSA 3380 bk 2009 form?

The “Function Report – Adult – Third Party” form also known as the ssa 3380 bk form is necessary for Social Security disability clients and their families in applying for and appealing their Social Security disability claim. The ssa 3380 bk 2009 form must be completed by third parties, which indicate the limitations of the disabled person.

What is SSA 3380 bk 2009 form?

The ssa 3380 bk 2009 Adult Function Report form gives information to help determine whether physical limitations of a disabled person are a sufficient reason for assistance provided by the state.

Is SSA 3380 bk 2009 form accompanied by other forms?

This ssa 3380 bk 2009 form is not accompanied by any other forms.

When is SSA 3380 bk 2009 form due?

You can fill out form ssa 3380 bk at any time as needed. Just be sure it complies with the latest requirements for documents posted on the Official Social security website.

How do I fill out SSA 3380 bk 2009 form?

Ssa 3380 bk 2009 form has several pieces to fill out:

  • General information, including the name, contact information, and relationship to the disabled person;
  • Information that describes a typical day of the disabled person, their activity, meals, housework, shopping, interests, etc.;
  • Information about mental and physical condition of the disabled person;
  • Remark section

Where do I send SSA 3380 bk 2009 form?

You need to send this form to the office which requested it. If you don’t have that address, you can call Social Security at 1-800-772-1213 (TTY 1-800-325-0778).

Video instructions and help with filling out and completing how to form ssa 3380 bk

Instructions and Help about party third form

All right everybody greets this again is attorney Anthony Ruiz bringing you your social security legal beat tip and I got a couple of questions that have imposed out to me, I want to thank the individuals who are asking me about the workers comp offset as well as about the pain threshold what we call the pain standard as well as about the medically determinable impairment I'm going to address those and upcoming videos, but I wanted to address this one for Mr. CPU who asked me about the functional report forms third party glad you brought that up because that's something I like to talk to people about when this fullness part popped out when you file your disability application and your case gets transferred to the disability determination services one of the things they do is they will send out forms to you with your functional forms these functional forms are designed for you to describe what's going on in the course of your daily activities was coming in terms of what do you do when you get up in the morning how do you handle getting dressed when you do experience any problems don't you're cleaning the house or anything like that what most people don't also realize is that when they'll also ask you meaning in Social Security Administration is to provide them the name of at least two or three people who can provide them with information about your case or about you and what they do is they send them a form similar to the one that you receive this may sound wild, but I want you to keep in mind this somebody asked me once before why does Social Security send all these forms all over the place I don't understand I'll tell you one word consistency because a lot of times they want to see is what you're saying consistent with what everybody else is seeing as well let me give you a good example let's say for instance you say when you go to the grocery store that every time you go you got to ride in a motorized car, and you always have to go with someone you can never go by yourself, and then they send a form to your friend and your friend and ask them have you ever seen your friend go grocery shopping yeah I see him the other day when they were grocery shopping were there any problems' no they were walking around like we walked up and down the aisles together now see how that's a little different from you saying you're at a corporate cart, and you're the other friend of yours are saying they've seen you walking down the aisle that plays a part with your credibility because if you're not being consistent they're going to look at what you're saying in light of your condition with a little degree of suspect so the first thing they do is they look for consistency, and it's consistency throughout so when you get those functional reports they're trying to see are you embellishing them let me kind of add it a step further in some instances when you're apply in some states you have two appeals before you go before judge well the first appeal they're going to...

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