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Form SSA-561-U2 12-2016 uf 12-2016 Prior Edition May Be Used Until Exhausted Social Security Administration Page 1 of 4 OMB No. 0960-0622 REQUEST FOR RECONSIDERATION NAME OF CLAIMANT CLAIMANT SSN CLAIM NUMBER If different than SSN ISSUE BEING APPEALED Specify if retirement disability hospital or medical SSI SVB overpayment etc. I do not agree with the Social Security Administration s SSA determination and request reconsideration. My reasons are SUPPLEMENTAL SECURITY INCOME SSI OR SPECIAL...
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How to fill out SSA-561-U2

01
Obtain the SSA-561-U2 form from the Social Security Administration website or your local office.
02
Fill in your personal information at the top of the form, including your name, Social Security number, and contact information.
03
State the reason for your appeal clearly in the designated section.
04
Provide any additional information or evidence that supports your appeal, such as medical records or financial information.
05
Review your completed form for accuracy and completeness.
06
Sign and date the form before submitting it.
07
Make a copy of the completed form for your records.
08
Submit the form to your local Social Security office or via any specified method provided by the SSA.

Who needs SSA-561-U2?

01
Individuals who have had their Social Security disability benefits or Supplemental Security Income (SSI) denied.
02
Anyone appealing a decision made by the Social Security Administration regarding entitlement to benefits.
03
Persons who believe they are entitled to benefits and wish to request a reconsideration.

Who needs SSA-561-U2?

This form may come in handy to those who apply to a social security administration for a reconsideration. It can is used by appellant in cases of determination about the claims by the social security administration.

What is SSA-561-U2 Used For?

This document is a request for reconsideration form. It is used to appeal administration’s determination about the claim for either supplemental security income (SSI) or special veterans benefits (SVB).

Should I Attach Any Other Forms to SSA-561-U2?

This form doesn't require any attachments. All the additional papers are sent later, while processing your claim.

How do I fill out SSA-561-U2?

While filling out Request For Reconsideration you should provide the following information:

First you should give name of claimant while filling out the form. Request For Reconsideration also requires claimant SSN to be provided. You should also mention whether your claim differs your SSN you should mention the first one as well while filling out Request For Reconsideration. Request For Reconsideration should contain information about issues being appealed. Request For Reconsideration also requires the reasons you are appealing to be provided. You also have to choose one of three ways of processing your claim. Those are:

  • Case review

  • Informal conference

  • Formal conference

The last part you need to fill out is about your contact information. It consists of the following statements:

  • Mailing address

  • City

  • State

  • ZIP code

  • Telephone number

You also can mention the same list considering your representative whether you have one. Otherwise, you will participate the review/conference on yourself. On the bottom of the form you should provide your signature.

DO NOT fill out the second part of the request for consideration. It is for social security administration use only.

Where should I Send It?

There are 2 copies of the form. The first one is for the Social Security administration and the second is for claimant.  You should keep your copy and file the first page of the paper to your local social security office.

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SSA-561-U2 is a form used by individuals to request reconsideration of a decision made by the Social Security Administration (SSA) regarding their entitlement to Social Security benefits.
Individuals who disagree with a decision made by the SSA regarding their Social Security benefits are required to file SSA-561-U2 to seek a reconsideration of that decision.
To fill out SSA-561-U2, individuals should provide their personal information, including name, Social Security number, and contact information, and clearly explain the reasons for their request for reconsideration.
The purpose of SSA-561-U2 is to provide a formal process for individuals to appeal decisions made by the SSA, allowing them to present additional information or arguments to support their case.
The information that must be reported on SSA-561-U2 includes the claimant's name, Social Security number, details of the initial decision being appealed, and reasons for the request for reconsideration.
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