Effective Dates: 06/03/2011 - Present Previous | Next

DI 12095.090 HA-4608 SP (Renuncia al Derecho de Comparecer Ante un Juez de Derecho Administrativo) (Waiver of your right to personal appearance before an Administrative Law Judge)

Go to OS 15070.439 to obtain the most current Form.

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http://policy.ssa.gov/poms.nsf/lnx/0412095090
DI 12095.090 - HA-4608 SP (Renuncia al Derecho de Comparecer Ante un Juez de Derecho Administrativo) (Waiver of your right to personal appearance before an Administrative Law Judge) - 06/03/2011
Batch run: 04/14/2014
Rev:06/03/2011