Form SSA-3380-BK. Function Report - Adult - Third Party Form

Form SSA-3380-BK, the Function Report for Adults - Third Party Form, is used by individuals or organizations who have knowledge of an adult's daily activities and limitations. This form serves as a way for a third party, such as a friend, family member, or social worker, to provide information about an adult's abilities and impairments. The primary purpose of this form is to assist the SSA in evaluating disability claims for adults who may have difficulty completing the report themselves.

For example, if an adult is applying for Social Security disability benefits and is unable to complete the function report on their own due to their medical condition, a third party who has knowledge of the individual's daily activities may use this form to provide essential information to the SSA. The purpose is to help the SSA assess the severity of the disability and determine eligibility for benefits.

The parties involved can include third parties who have knowledge of an adult's daily activities and limitations, as well as the SSA. The form consists of sections related to the adult's medical condition, daily activities, and the impact of the condition on their functioning. Accurate reporting is vital for the SSA to make an informed decision about disability benefits.