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This version of the form is not currently in use and is provided for reference only. Download this version of
Form SSA-3380
for the current year.
Form SSA-3380 Function Report - Adult - Third Party
What Is Form SSA-3380?
This is a legal form that was released by the U.S. Social Security Administration on June 1, 2020 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form SSA-3380?
A: Form SSA-3380 is a form used to gather information about an adult individual's ability to function in daily activities.
Q: Who can fill out Form SSA-3380?
A: A third party, such as a family member, friend, or caregiver, can fill out Form SSA-3380 on behalf of the adult individual.
Q: Why would someone need to fill out Form SSA-3380?
A: Form SSA-3380 is typically required when an adult individual is applying for or already receiving disability benefits, and the Social Security Administration needs more information about their ability to function.
Q: What kind of information is asked in Form SSA-3380?
A: The form asks about the adult individual's ability to perform various activities of daily living, such as self-care, household tasks, and social interactions.
Q: How should Form SSA-3380 be filled out?
A: The third party should provide specific examples and details about the adult individual's limitations and difficulties in performing activities, as well as any assistance they require.
Form Details:
- Released on June 1, 2020;
- The latest available edition released by the U.S. Social Security Administration;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form SSA-3380 by clicking the link below or browse more documents and templates provided by the U.S. Social Security Administration.
Download Form SSA-3380 Function Report - Adult - Third Party
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