Reference Links

 Medicare

Medicare


Social Security Forms

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Disability Report - Appeal

Form SSA-3441
This form must be completed when a Request for Reconsideration and a Request for Hearing is filed.

Medical Authorization

Form SSA-827

Request for Reconsideration

Download Form SSA-561
This form must be signed when a Request for Reconsideration and a Request for Hearing is filed. 

Request for Hearing

Download Form HA-501

Request for Review of Hearing Decision

 Download Form HA-520