Friday, July 08, 2005

Social Security Form SSA-3373 BK - Function Report

Social Security Disability Forms: A downloadable version of Form SSA 3373 BK Function Report is available on the Pds web site at:http://wrresources.fatcow.com/documents/FormSSA-3373-BK04-2010.pdf

This form helps SSA understand how well or badly you function in various activities related to work. (Please forgive the wobbly printing, but this is what the form looks like when printed by an SSA computer.)

Sometimes SSA may not ask for this form right away, but it is handy to have a draft roughed out.

Downloadable copies of the following SSA forms are available on the front page (lower right) of the Pds website http://wrresources.fatcow.com/

Form SSA-3368 BK Disability Report
Form SSA-3373 BK Function Report
Form SSA-3369 BK Work History Report

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7 comments:

Anonymous said...

I am filing for disablity for mental conditions.One website says this applies to the bottom 2% of the general population.Kind of sad that I think I am that sick.I have six of the disorders that would qualify me for social security disability, according to another website.which is A law firm that would like to take my case.Filling out SSA-3373-BK is hard for me cause the truth just seems unbelieveable. Any Tips.

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Anonymous said...

Does anyone know of a site that helps you know what to say on the SSA-3373-BK form? I am suffering from Traumatic Brain Injury from a fall on 6/3/10. Then a fall on 6/15/10 while still in the hospital as they did not have the bed rails up nor the bed alarm on as were specific written orders from the doctor.
Trying to fill out SSA-3373-BK Function Report Form. Anyone know of a site that basically helps tell you what to write on form so as not to be denied. Thank you.

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Anonymous said...

Yes, I found this website very helpful with giving me an idea on what to write! Check it out.... http://www.ultimatedisabilityguide.com/function_report_ssa_form_3373.html

Hope this helps! Good Luck!

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