Form SSA-3373-BK, also known as the Function Report - Adult, is used by the Social Security Administration to assess how an individual's disability affects their daily living and work capabilities. This information is essential for determining eligibility for Social Security Disability benefits.

Individuals who have applied for Social Security Disability benefits and are requested by the SSA to provide additional information about their daily functioning.

Include detailed information about your medical conditions, how they impact your daily life and work, and any medications you are taking.

Once submitted, you cannot alter the form. However, you can provide additional evidence if requested by the SSA.

You will receive a notification from the SSA once your form is processed, or you can check your claim status online.