If we do not make any corrections or the PC request a statement, as the result of
a post-adjudicative review, and we determined that the NH did not previously explain
or insufficiently explain an ER inconsistency,
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•
Complete a “Statement of Claimant or Other Person,” SSA-795.
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•
PC should advise the FO how to forward the information; FAX the SSA-795 using the
3601 or fax to Non-Disability Repository for Evidentiary Documents (NDRED) using the
Evidence Portal.
NOTE: If the NH or claimant states they are not signing the SSA-795, prepare a SSA-5002
indicating that the claimant will not sign the SSA-795. Fax the completed form to Paperless or to NDRED using the Evidence
Portal (EP), as appropriate.