TIPS IN COMPLETING THE ADULT FUNCTION REPORT (SSA 3373-BK)
SSA will have an applicant complete the Adult Function Report form (SSA 3373-BK). SSA uses the answers to the Adult Function Report as one tool out of many to assess the severity of an individual's impairments.
Should my answers reflect my currant situation or past situation?Unless a question asks for information concerning how daily activities were performed in the past, the Claimant's answers should focus on the Claimant's current situation.
How do I answer Question 6 regarding my "daily routine".SSA will ask a Claimant to provide information describing what a Claimant does from the time a Claimant wakes up until the time a Claimant goes to bed (Question 6). A lot of Claimants fail to answer this question which likely causes unnecessary delay in SSA processing the claim. A Claimant should provide sufficient information that gives SSA a general overview as to how a Claimant spends a typical day. Because SSA provides limited space to answer this question, the Claimant should provide concise to the point answers.
What if I need help with performing a daily activity?If a Claimant needs help with some daily activities such as shopping, laundry, driving, preparing meals, etc., the Claimant's answers should reflect that help is needed and the type, frequency and duration of help.
What type of information should I provide?It is recommend that a Claimant answer each question with complete, concise, accurate and truthful information. Providing answers that are inaccurate, incomplete, exaggerated or failure to answer a question will likely adversely impact the claim.