Social Security Disability Appeals Forms

By / February 18, 2018 / Commonly Used SSDI/SSI Forms / 1 Comment

When your Social Security or SSI claim has been denied, access here the necessary forms for filing reconsideration, hearing, and Appeals Council appeals.

The base forms used to file appeals are the SSA-561-U2 Request for Reconsideration (usually the first appeal), the HA-501-U5 Request for Hearing (usually second appeal, when your claim has been denied twice) and the HA 520-U5 for an Appeals Council review of a hearing denial. If you have been receiving benefits and your claim has been closed because it has been determined you are not longer disabled as defined by Social Security law, the base appeal form to use is the SSA-1372-BK. Submit an SSA-827 with all appeals to re-authorize SSA to gather information to process your appeal.

Use additional forms provided in this grouping to update your medical and vocational information when you file the appeal, to appoint an attorney or non-attorney representative, or to request a change of hearing date or location. We recommend that if you have a representative, discuss the pros and cons of requesting a change of hearing date before taking that action.


Please click on the link below to open your desired form in a separate browser window. You can then download the form from directly to your computer.

SSA-561-U2 Request for Reconsideration

HA-501-U5 Request for Hearing by Administrative Law Judge

HA-520-U5 Request for Review of Hearing Decision/Order (Appeals Council review)

SSA-769-U4 Request for Change in Time/Place of Disability Hearing

SSA-827 Authorization to Disclose Information to the Social Security Administration


SSA-789 Request for Reconsideration – Disability Cessation

SSA-1696-U4 Appointment of Representative (attorney or non-attorney)

SSA-3441-BK Disability Report – Appeal (to submit additional or updated medical information for reconsideration)

HA-4631 Claimant’s Recent Medical Treatment (to submit additional or updated information for hearing)

HA-4632 Claimant’s Medications (to submit additional or updated information for hearing)

HA-4633 Claimant’s Work Background (to submit additional or updated information for hearing)



Social Security Disability Appeals Forms
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