Form SSA-3881-BK. Questionnaire for Children Claiming SSI Benefits

Form SSA-3881-BK, the Questionnaire for Children Claiming SSI Benefits, is a questionnaire for parents or guardians of children claiming Supplemental Security Income (SSI) benefits. The primary purpose of this form is to collect information about a child's medical condition and daily activities to assess eligibility for SSI benefits.

For example, when a child has a disability and their parents or guardians are applying for SSI benefits on the child's behalf, this form is used to provide detailed information about the child's condition, treatment, and how the disability affects their daily life. The purpose is to assist the SSA in evaluating the child's eligibility for SSI benefits.

The parties involved are parents or guardians of children applying for SSI benefits on the child's behalf and the SSA. The form consists of sections related to the child's medical condition, treatments, and the impact of the condition on their daily activities. Accurate reporting is crucial for the SSA to assess eligibility for SSI benefits.