Within 15 calendar days of receipt of the HA-501/i501, the FO will:

1. a. 

   Build the appeal request data to the Supplemental Security Record (SSR) by selecting “appeal” from Supplemental Security Income (SSI) Main Menu (MSSI). If the case is non-Modernized SSI Claims (non-MSSICs) (cases never processed in the SSI Claims system or where there is not an active claim iteration on the claim file), use the Direct Update SSR (DSSR) process.

   NOTE: On the Jurisdiction and Status (AJAS) page, enter 5ZU (the office code for the SRC) for “Claim Preferred Office,” unless a class action. For class action cases, enter the local jurisdictional hearing office code. For more information on AJAS page, see MS 04420.023. On the MCS Claim Movement/WMS Clearance (CMWM) screen, enter 5ZU for “Transfer To.” For more information on CMWM screen, see MS 03520.003.

2. b. 

   Gather proper documents from electronic repositories such as the Evidence Portal (EP), Online Retrieval System (ORS), and the paper folder, if needed. Pay attention to Personally Identifiable Information (PII), only include documents and queries relevant to the claimant. The documents include, but are not limited to:

   • •

     HA-501/i501, or written document that disagrees with the prior determination,

   • •

     SSA-561 (Request for Reconsideration)/i561,

   • •

     Award/denial notice(s),

   • •

     Reconsideration determination notice,

   • •

     Notices and decisions concerning the appeal issue,

   • •

     SSA-1696 (Claimant’s Appointment of Representation),

   • •

     Relevant financial records and forms, when applicable:

     i. Paystubs, tax documents, and IRS alerts/records

     ii. Property information, valuation of vehicles and other assets, life insurance, and burial fund documents

     iii. Waiver analysis

   • •

     Prior overpayment or waiver determinations,

   • •

     Evidence used at the initial and reconsideration level (related to the determinations and hearing request),

   • •

     Good cause statement if applicable,

   • •

     Any updated evidence that may have been submitted since the last decision,

   • •

     SSID (Complete Record Request) with the complete payment history and due process information. As applicable annotate the following information:

     i. Title XVI only Payment Status,

     ii. Title II and Title XVI Payment Status,

     iii. Title II benefits continue until the hearing decision and advance notice date - ensures correct termination of the Title II benefits and HI/SMI.

   • •

     Relevant queries, including earning queries.

     NOTE: All information for the non-medical appeal should be stored in ENM. Do not send a paper folder containing a non-medical appeal to the hearings level.

3. c. 

   Follow instructions in GN 03103.080B.1 through GN 03103.080B.3 to create the case in ENM and upload proper documents from SI 04030.030B.1.b above into ENM.

4. d. 

   Prepare a completed eNDSS report, including any additional queries not already listed in SI 04030.030B.1.b above, save the report as a PDF file, and upload it into ENM. For instructions on completing and saving the eNDSS, see GN 03103.130B and Saving a Document to PDF guide.

5. e. 

   Send the case to the SRC, office code 5ZU. For class action cases, route to the local jurisdictional hearing office.

6. f. 

   Send an email to the SRC mailbox ^DA DICompliance ENM SSI Non Dib Hearings to notify SRC that you have created the case, uploaded documents, and changed jurisdiction in ENM. For class action cases, send an email to the local jurisdictional hearing office, see the "ENM Mailboxes" Excel spreadsheet in Electronic Non-Medical Desk Guide.

   • •

     In the email to the hearings level, include any applicable special case characteristics such as multiple appeals issues, dual entitlement, auxiliary case, etc.

   • •

     See following example:

     To:	^DA DICompliance ENM SSI Non Dib Hearings
     CC:	<Division Mailbox> (Refers to Sender’s site location email address, i.e., FO mailbox.); Sender’s email address
     Subject:	ACTION: Title (XVI or Concurrent) Non-Medical Appeal
     Body:	Please refer to the ENM case created for SSN xxx-xx-xxxx. Please return decision to WorkTrack number (xxx) xxx-xxxx (Title XVI) and Paperless number (xxx) xxx-xxxx (Title II portion of concurrent case).

7. g. 

   Upload HA-501/i501, the copy of eNDSS report, and any new evidence that the claimant submits with the appeal into EP.

   NOTE: For any case older than 180 days, if possible, technicians should confirm key information prior to transferring to the hearings level:

   • •

     Claimant’s mailing address;

   • •

     Claimant’s valid contact information, including phone number and email address; and

   • •

     Any updated evidence that may have been submitted since the last decision.

When the hearings level receives the hearing request from the FO, the hearings level will:

1. a. 

   Ensure the request for hearing and required documents are included with the ENM case.

2. b. 

   Establish the case in the applicable case processing system.

3. c. 

   Exhibit the case folder and take appropriate actions (i.e., ALJ holds hearing, renders a decision, and updates ENM).

4. d. 

   The hearings level support staff sends Title XVI decision documents to the local office via WorkTrack number and Title II portion of concurrent cases to the appropriate PC Paperless number, then closes the case in ENM. In addition, the hearings level support staff emails the decision to the PC’s division mailbox, which can be located in DOORS based on the SSN.