Anyone who makes or causes to be made a false statement or representation of material fact for use in determining a payment under the Social Security Act, or knowingly conceals or fails to …
Sections 205(a), 223(d)(5)(A), 1631(d)(1) and 1631(e)(1) of the Social Security Act, as amended, authorize us to collect this information. We will use the information you provide to make a …
How to Fill Out the Third-Party Function Report Step-by-Step
Dec 11, 2023 · Learn how to fill out the Third-Party Function Report (Form SSA-3380-BK) with tips and examples for each section.
If you need help with this form, complete as much of it as you can and call the phone number provided on the letter sent with the form, or contact the person who asked you to complete the …
Form SSA-3380-BK Function Report - Adult - Third Party
An SSA-3380-BK fillable form is available for download below. The information provided in the Third-Party Adult Function Report is used by the Social Security Administration to determine …
- Reviews: 101
How to Fill Out the Adult Function Report - LaPorte Law Firm
Nov 19, 2025 · The Third-Party Function Report (Form SSA-3380-BK) is designed to be completed by someone who knows you well and can provide an outside perspective on how …
SSA-3380-BK 2020-2026 - Fill and Sign Printable Template Online
Complete SSA-3380-BK 2020-2026 online with US Legal Forms. Easily fill out PDF blank, edit, and sign them. Save or instantly send your ready documents.