Official form collection
Appeals & hearings forms and guides
Browse SSA hearing, reconsideration, Appeals Council, waiver, and other administrative review form guides.
18 forms in this collection
HA-85 PDF
Request to Withdraw a Hearing Request
HA-85, Request to Withdraw a Hearing Request, is an official Social Security Administration PDF listed in the Social Security Administration forms directory. This guide explains what to prepare, how to review the form, and where to get the current government download.
Read guideHA-86 PDF
Request to Withdraw an Appeals Council Request for Review
HA-86, Request to Withdraw an Appeals Council Request for Review, is an official Social Security Administration PDF listed in the Social Security Administration forms directory. This guide explains what to prepare, how to review the form, and where to get the current government download.
Read guideHA-501-U5 PDF
Request for Hearing by Administrative Law Judge
HA-501-U5, Request for Hearing by Administrative Law Judge, is an official Social Security Administration PDF listed in the Social Security Administration forms directory. This guide explains what to prepare, how to review the form, and where to get the current government download.
Read guideHA-510 PDF
Waiver of Timely Written Notice of Hearing
HA-510, Waiver of Timely Written Notice of Hearing, is an official Social Security Administration PDF listed in the Social Security Administration forms directory. This guide explains what to prepare, how to review the form, and where to get the current government download.
Read guideHA-520 PDF
Request for Review of Hearing Decision/Order
HA-520, Request for Review of Hearing Decision/Order, is an official Social Security Administration PDF listed in the Social Security Administration forms directory. This guide explains what to prepare, how to review the form, and where to get the current government download.
Read guideHA-539 PDF
Notice Regarding Substitution of Party Upon Death of Claimant
HA-539, Notice Regarding Substitution of Party Upon Death of Claimant, is an official Social Security Administration PDF listed in the Social Security Administration forms directory. This guide explains what to prepare, how to review the form, and where to get the current government download.
Read guideHA-4608 PDF
Waiver of Your Right to Personal Appearance Before an Administrative Law Judge
HA-4608, Waiver of Your Right to Personal Appearance Before an Administrative Law Judge, is an official Social Security Administration PDF listed in the Social Security Administration forms directory. This guide explains what to prepare, how to review the form, and where to get the current government download.
Read guideHA-4631 PDF
Claimant's Recent Medical Treatment
HA-4631, Claimant's Recent Medical Treatment, is an official Social Security Administration PDF listed in the Social Security Administration forms directory. This guide explains what to prepare, how to review the form, and where to get the current government download.
Read guideHA-4632 PDF
Claimant's Medications
HA-4632, Claimant's Medications, is an official Social Security Administration PDF listed in the Social Security Administration forms directory. This guide explains what to prepare, how to review the form, and where to get the current government download.
Read guideHA-4633 PDF
Claimant's Work Background
HA-4633, Claimant's Work Background, is an official Social Security Administration PDF listed in the Social Security Administration forms directory. This guide explains what to prepare, how to review the form, and where to get the current government download.
Read guideHA-L90 PDF
Request To Show Cause For Failure To Appear
HA-L90, Request To Show Cause For Failure To Appear, is an official Social Security Administration PDF listed in the Social Security Administration forms directory. This guide explains what to prepare, how to review the form, and where to get the current government download.
Read guideSSA-561 PDF
Request for Reconsideration
SSA-561, Request for Reconsideration, is an official Social Security Administration PDF listed in the Social Security Administration forms directory. This guide explains what to prepare, how to review the form, and where to get the current government download.
Read guideSSA-769 PDF
Request for Change in Time/Place of Disability Hearing
SSA-769, Request for Change in Time/Place of Disability Hearing, is an official Social Security Administration PDF listed in the Social Security Administration forms directory. This guide explains what to prepare, how to review the form, and where to get the current government download.
Read guideSSA-770-U4 PDF
Notice Regarding Substitution of Party Upon Death of Claimant Reconsideration of Disability Cessation
SSA-770-U4, Notice Regarding Substitution of Party Upon Death of Claimant Reconsideration of Disability Cessation, is an official Social Security Administration PDF listed in the Social Security Administration forms directory. This guide explains what to prepare, how to review the form, and where to get the current government download.
Read guideSSA-773 PDF
Waiver Of Right To Appear - Disability Hearing
SSA-773, Waiver Of Right To Appear - Disability Hearing, is an official Social Security Administration PDF listed in the Social Security Administration forms directory. This guide explains what to prepare, how to review the form, and where to get the current government download.
Read guideSSA-789 PDF
Request for Reconsideration - Disability Cessation
SSA-789, Request for Reconsideration - Disability Cessation, is an official Social Security Administration PDF listed in the Social Security Administration forms directory. This guide explains what to prepare, how to review the form, and where to get the current government download.
Read guideSSA-3105 PDF
Important information about your appeal, waiver rights, and repayment options
SSA-3105, Important information about your appeal, waiver rights, and repayment options, is an official Social Security Administration PDF listed in the Social Security Administration forms directory. This guide explains what to prepare, how to review the form, and where to get the current government download.
Read guideSSA-3441-BK PDF
Disability Report - Appeal
SSA-3441-BK, Disability Report - Appeal, is an official Social Security Administration PDF listed in the Social Security Administration forms directory. This guide explains what to prepare, how to review the form, and where to get the current government download.
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