DI 33095.000 Exhibits

Subchapter Table of Contents
Section Latest
Transmittal
DI 33095.001Exhibits - Disability Hearing UnitsBASIC 03-86
DI 33095.005Request for Reconsideration-Disability Cessation (SSA-789-U4)BASIC 03-86
DI 33095.015Waiver of Right to Appear - Disability Hearing (SSA-773-U4)BASIC 03-86
DI 33095.020Request for Change in Time/Place of Disability Hearing (SSA-769-U4)BASIC 03-86
DI 33095.025Reconsideration/Disability Hearing Process (SSA-888 - English Version)BASIC 03-86
DI 33095.030Reconsideration/Disability Hearing Process (SSA-888-SP - Spanish Version)BASIC 03-86
DI 33095.035Notice Regarding Substitution of Party Upon Death of Claimant - Reconsideration of Disability Cessation (SSA-770-U4)TN 5 09-92
DI 33095.045Summary of Evidence (SSA-887)TN 1 10-86
DI 33095.055Sample - Statement of Claimant or Other Person (SSA-795)TN 1 10-86
DI 33095.057Spanish Translation of Notice of Disability HearingTN 6 08-94
DI 33095.058Spanish Translation of Example of Modification to Scheduling Notice When Another Hearing is Required Because DHO Who Held Hearing Becomes Unavailable to Write DecisionTN 6 08-94
DI 33095.059Spanish Translation of Notice Cancelling/Postponing Disability Hearing - ExhibitTN 6 08-94
DI 33095.060Subpoena-Disability Hearing (SSA-1272-U4)TN 6 08-94
DI 33095.063Disability Hearing Officer's Report of Disability Hearing (DC) (SSA-1204-BK)TN 5 09-92
DI 33095.065Disability Hearing Officer's Report of Disability Hearing (SSA-1205-BK)TN 5 09-92
DI 33095.095Response to Notice of Revised Determination, Form SSA-765TN 7 09-97
DI 33095.100SSA-L1674-U2 - Disability Hearing Decision Cover Letter — Without Benefit ContinuationTN 1 10-86
DI 33095.102SSA-L1675-U2 - Disability Hearing Decision Cover Letter — Benefit Continuation Elected at Reconsideration and Offered Again at ALJ Hearing LevelTN 1 10-86
DI 33095.104SSA-L1677-U2 - Disability Hearing Decision Cover Letter — Benefit Continuation Not Elected at Reconsideration and Offered Again at ALJ Hearing LevelTN 1 10-86
DI 33095.106SSA-L1648-U2 - Disability Hearing Decision Letter — Without Benefit Continuation - AuxiliaryTN 1 10-86
DI 33095.108SSA-L1656-U2 - Disability Hearing Decision Letter — Benefit Continuation Elected at Reconsideration and Offered Again at ALJ Hearing Level - AuxiliaryTN 1 10-86
DI 33095.110SSA-L1658-U2 - Disability Hearing Decision Letter — Benefit Continuation Not Elected at Reconsideration and Offered Again at ALJ Hearing Level — AuxiliaryTN 1 10-86
DI 33095.112SSA-L1678 - Disability Hearing Decision Cover Letter - Without Payment ContinuationTN 1 10-86
DI 33095.114SSA-L1679-U2 — Disability Hearing Decision Cover Letter — Payment Continuation Not Elected at Reconsideration and Offered Again at ALJ Hearing LevelTN 1 10-86
DI 33095.116SSA-L1680-U2 — Disability Hearing Decision Cover Letter — Payment Continuation Elected at Reconsideration and Offered Again at ALJ Hearing LevelTN 1 10-86
DI 33095.130Notice of Disability Hearing Decision (Foreign Claims) (Reproduced Locally)TN 1 10-86
DI 33095.135Disability Hearing Case (SSA-2640)TN 1 10-86

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DI 33095.000 - Exhibits - Table of Contents - 09/25/1997
Batch run: 05/25/2017
Rev:09/25/1997