TN 3 (09-19)
A beneficiary (or recipient) may request to withdraw his or her request for reconsideration
of an initial cessation determination ( i.e., SSA-789 Request for Reconsideration-Disability
Cessation Right to Appear or Modernized Supplemental Security Income Claim System
(MSSICS) generated printout).
A beneficiary (or recipient) may subsequently request to cancel withdrawal.
The withdrawal request must:
Be in writing,
Be signed by the beneficiary (or recipient), and
Indicate that he or she understands the effect of the withdrawal.
The field office (FO) has the authority to approve the withdrawal request, unless
the case involves a foreign claim or a career railroad claim.
The Office of Earnings and International Operations (OEIO) approves withdrawals in
foreign claims, and
The Great Lakes Program Service Center (GLPSC) approves withdrawals in career railroad claims.
Postpone any scheduled hearing pending disposition of the withdrawal request.
Prepare an SSA-5002 Report of Contact (for electronic claim) or SSA-408 Route Slip
(for paper claim) to return the claims folder to the FO. Annotate “Forwarded Per Your Request- Beneficiary (or recipient) Filed Request
for Withdrawal of
Her Request for Reconsideration-Disability Cessation”.
Update the case control system.
Cancel or resume the hearing process based on the response received from the FO as
to whether the request for withdrawal was granted or denied.
NOTE: The FO will return the claims folder to the DHU if the FO denies the request for
Advise the beneficiary (or recipient) and appointed representative that a reconsideration
is a prerequisite for an administrative law judge (ALJ) hearing, that withdrawing the request for reconsideration will result in the loss
of future appeal rights on the claim, and that the initial cessation determination
will become final if the request for reconsideration is withdrawn.
Assist in preparing a signed statement if the beneficiary (or recipient) insists on
withdrawing the reconsideration request.
NOTE: The statement should be in the beneficiary's (or recipient's) own words and should
give a detailed account of the reason for the request.
Advise the beneficiary (or recipient) that the FO (OEIO, GLPSC) has the authority
to approve the withdrawal, and that his or her case will be forwarded for further
Postpone any scheduled hearing pending disposition of the request for withdrawal.
Prepare an SSA-5002 Report of Contact or SSA-408 Route Slip to route the case to the
FO. (Career railroad claims will be sent to: GLPSC—DRS, P.O. Box 8470-A, Chicago,
IL, 60680. Foreign claims will be sent to: Social Security Administration, P.O. Box
17769, Baltimore, MD, 21203, ATTN: Reconsideration Branch.)
Annotate the SSA-5002 Report of Contact or SSA-408 Route Slip to show “See Withdrawal Request In File For
Your Approval or Denial”.
Inquire as to the reason for the request.
Advise the beneficiary (or recipient) as shown in B.2.a. above.
Inform the beneficiary (or recipient) to call or visit the FO if he or she insists
Stress the importance of contacting the FO immediately so the hearing process can
be postponed pending disposition of the withdrawal.
Continue with the hearing process unless the FO notifies the DHU that the beneficiary
(or recipient) filed a request for withdrawal.
Prepare an SSA-5002 Report of Contact (for paper case) or SSA-408 Route Slip (for
paper case) and route the case to the office having authority to approve withdrawal.
NOTE: If the case is a career railroad case and the written contact does not show that the
claimant fully understands the effects of a withdrawal, forward the case to the FO.
Proceed as shown in B.1.a, c, and d above.
A beneficiary (or recipient) may request to cancel a withdrawal if filed within 60
days from the date he or she receives the notice of approval of withdrawal. (See 20 CFR 404.911(b) and 416.1411(b) for good cause for missing the deadline.)
Process the claim as though no withdrawal had taken place if the claims folder contains
a request to cancel the withdrawal.
Notify the other components involved in this process if you were the component that
received the cancellation.