A Function Report is a multi-page questionnaire about an applicant’s activities and how their disabilities impact their daily lives.

What is a function report for Social Security?

The Function Report (SSA-3373) helps DDS to obtain information about how an applicant’s illness(es) and condition(s) affect their ability to function and perform everyday tasks.

Why did I receive a SSA-3373-BK?

What Is Form SSA-3373-BK? … If those medical records don’t provide enough information to make a decision, then the SSA will typically ask you to fill out Form SSA-3373-BK.