The SSA-773-U4 is designed to allow the claimant or representative to officially waive
the right to appear at the disability hearing.
Explain to the claimant the consequences of not appearing as described on the form.
The claimant must understand that he/she is not waiving the disability hearing process,
but only the personal appearance. If the claimant waives the right to appear the decision
will be made based solely on the evidence in file.
The waiver is not irrevocable. It can be reversed by the claimant's written request
at any time prior to writing the decision.