OF-347
|
Order for Supplies or Services
|
SSA-381-SP
|
Waiver of Right to Receive Notices In Spanish
|
SSA-408
|
Route Slip
|
SSA-416
|
Medical Evaluation
|
SSA-454-BK
|
Continuing Disability Review Report
|
SSA-454-BK-SP
|
Continuing Disability Review Report - Spanish
|
SSA-533
|
Translation Request
|
SSA-567
|
Notice for Subsequent Handling
|
SSA-765
|
Response to Notice of Revised Determination
|
SSA-769-U4
|
Request for Change in Time/Place of Disability Hearing
|
SSA-770-U4
|
Notice Regarding Substitution of Party Upon Death of Claimant-Reconsideration of Disability
Cessation
|
SSA-773-U4
|
Waiver of Right to Appear-Disability Hearing
|
SSA-789-U4
|
Request for Reconsideration-Disability Cessation Right to Appear
|
SSA-795
|
Statement of Claimant or Other Person
|
SSA-831
|
Disability Determination and Transmittal
|
SSA-832
|
Cessation or Continuance of Disability or Blindness Determination and Transmittal-Title
XVI
|
SSA-833
|
Cessation or Continuance of Disability or Blindness Determination and Transmittal-Title
II
|
SSA-887
|
Summary of Evidence
|
SSA-1128
|
Representative Involved
|
SSA-1204-BK
|
Disability Hearing Officer's Report of Disability Hearing (DC)
|
SSA-1205-BK
|
Disability Hearing Officer's Report of Disability Hearing
|
SSA-1207-BK
|
Disability Hearing Officer’s Decision (DIB, CDB, DWB (Including Surviving Divorced
Spouse), DI, DS
|
SSA-1207-BK-OP1
|
Disability Hearing Officer’s Decision (Medical Improvement Review Standard Not Applicable)
|
SSA-1209-BK
|
Disability Hearing Officer’s Decision (Title XVI Disabled Child (DC)) – Continuing
Disability Review
|
SSA-1272-U4
|
Subpoena-Disability Hearing
|
SSA-L1648-U2
|
Disability Hearing Decision Letter - Without Benefit Continuation - Auxiliary
|
SSA-L1656-U2
|
Disability Hearing Decision Letter - Benefit Continuation Elected at Reconsideration
and Offered Again at Administrative Law Judge (ALJ) Hearing Level - Auxiliary
|
SSA-L1658-U2
|
Disability Hearing Decision Letter - Benefit Continuation Not Elected at Reconsideration
and Offered Again at ALJ Hearing Level - Auxiliary
|
SSA-L1674-U2
|
Disability Hearing Decision Cover Letter - Without Benefit Continuation
|
SSA-L1675-U2
|
Disability Hearing Decision Cover Letter - Benefit Continuation Elected at Reconsideration
and Offered Again at ALJ Hearing Level
|
SSA-L1677-U2
|
Disability Hearing Decision Cover Letter - Benefit Continuation Not Elected at Reconsideration
and Offered Again at ALJ Hearing Level
|
SSA-L1678-U2
|
Disability Hearing Decision Cover Letter - Without Payment Continuation
|
SSA-L1679-U2
|
Disability Hearing Decision Cover Letter - Payment Continuation Not Elected at Reconsideration
and Offered Again at ALJ Hearing Level
|
SSA-L1680-U2
|
Disability Hearing Decision Cover Letter - Payment Continuation Elected at Reconsideration
and Offered Again at ALJ Hearing Level
|
SSA-L1696-U4
|
Appointment of Representative
|
SSA-2506-BK
|
Psychiatric Review Technique
|
SSA-2640
|
Disability Hearing Case
|
SSA-3031
|
Disability Hearing Review Sample Case Flag
|
SSA-3441-BK
|
Disability Report -- Appeal
|
SSA-3441-BK-SP
|
Disability Report – Appeal (Spanish)
|
SSA-4734-BK
|
Physical Residual Functional Capacity Assessment
|
SSA-4734-F4-SUP
|
Mental Residual Functional Capacity Assessment
|