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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 benefits such as disability or SSI. This is a lengthy form that is required in order for the SSA to examine how well an individual can function during the various aspects of their life. This will include functioning physically and mentally.
This form should be filled out with as much detail as possible. This will allow the Social Security Administration to determine whether or not you can work at a job with your current limitations. You may also need to fill out a separate form to detail your current pain or fatigue levels. Like with other disability forms, you can include medical documentation to back up your claims.
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