SSA-3373 Function Report Walkthrough Kit | SSDI Adult Function Report Help | Example Narratives + Workbook | Instant Download
What to know
Digital download
Digital file type(s)
1 ZIP
Filling out Form SSA-3373 (Adult Function Report) for an SSDI or SSI claim? This form - not the application itself - is where most claims are decided. Disability examiners use your answers to build the Residual Functional Capacity (RFC) assessment under 20 CFR 404.1545. Vague answers like 'I manage okay' can sink an otherwise strong claim.
WHAT'S INCLUDED (instant download, ZIP with 36-page PDF + 8-tab Excel workbook):
- 10-unit walkthrough mapped to the SSA-3373-BK form sections: Information About You, Illnesses/Injuries/Conditions, Daily Activities, Abilities, Remarks
- 24 example narrative structures organized by impairment cohort: physical, mental health, cognitive, chronic pain, autoimmune, cardiovascular
- 'Good day vs bad day' symptom-pattern templates - the framing examiners need to see frequency and variability
- SSA-3380 third-party Function Report companion decoder (for the person filling out the witness form)
- Medical-evidence cross-reference index - tie each answer to records the examiner can verify
- Pre-attorney decision tree (when attorney engagement makes sense and when it doesn't yet)
- 8-tab Excel workbook: 10-day return-window Readiness Tracker, Daily Activities narrative drafting, Abilities worksheet, Medications & Side-Effects log, Cross-Reference Index, SSA-3380 Third-Party, Symptom Pattern Log, Decision Tree
WHO IT'S FOR: Adults completing the SSA-3373 at initial application, reconsideration, or before an ALJ hearing - before an attorney is involved. SSDI attorneys typically engage only after an initial denial; this form is filed first, by you.
DELIVERY: Instant ZIP download after purchase (PDF walkthrough + Excel workbook). No subscription.
NO REFUNDS on instant-download digital products (shop policy - files are delivered instantly). Educational documentation aid based on SSA-published forms (SSA-3373-BK, SSA-3380-BK) and 20 CFR 404.1512 / 404.1545 - not legal advice, not medical advice. Citations verified as of 2026-06-12. Questions? Send a message through Etsy.
Price:$19.00
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