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This form will be used by the Social Security Administration in order to process an individual’s application for benefits such as disability or SSI. The Form SSA 3380-BK is known as a Third Party Adult Function Report. This form will need to be filled out by a third party such as a friend or family member. It cannot be a medical professional. This person should be close to you, as this form asks very personal questions.
The third party will need to know information such as where you live, what your medical conditions are, and how you go through your daily life. This will include what your physical and mental limitations are. The Social Security Administration will need this information in order to determine whether or not you are eligible for benefits. Ensure that your third party is accurate and truthful on form.
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