Social Security
SSA-3380-BK — Function Report - Adult - Third Party Form
A friend, relative, or caregiver files SSA-3380-BK for a disability claimant.
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How SSA-3380-BK fits into a repeat PDF workflow
SSA-3380-BK — Function Report - Adult - Third Party Form is listed in the Social Security catalog. Describes the claimant's daily functioning — tasks, limitations, social activities — as collateral evidence in the SSA disability determination. Treat the blank PDF as the controlled starting point: keep the official layout intact, then add reviewed fields and mappings before using it for live records.
- Template setup: open the blank PDF in DullyPDF, run field detection, and review text boxes, checkboxes, radio groups, dates, and signature areas before saving the template.
- Data fill: map the detected fields to CSV, Excel, JSON, or SQL-backed schema headers so the same reviewed PDF can be filled from repeat records.
- Output paths: download the completed PDF, collect respondent answers with Fill By Link, call API Fill, or route the prepared record into a signature workflow.
The catalog keeps 10 pages, file size, category, and source attribution to ssa.gov visible before automation starts, which helps teams confirm they are working from the right official blank form before saving a template.