Form SSA-3373-BK, Function Report - Adult is a form used to determine whether an individual was eligible for Social Security disability benefits. The form - also known as the SSA Function Report form - was issued by the Social Security Administration (SSA).
The latest version of the document was released in October 2015. An SSA-3373-BK fillable form is available for download and digital filing below or on the SSA website.
Filling out the form may be complicated and time-consuming. If you experience any difficulties, fill out the answers you are sure about and contact your local Social Security office for help. Besides, you can consult with the disability attorney or advocate about the case. Various SSA-3373-BK sample answers are available online to facilitate the completion process.