TN 4 (03-07)
Follow the procedures below when a claimant wants to appeal an ABAP decision:
Conduct a reconsideration per SI 04020.020; or
Consider whether to reopen and revise the initial determination per SI 04070.010 if the claimant is eligible; and
Complete a full SSA-8000-BK (Application for Supplemental Security Income).
Write "Supplemental" at the top when completing a supplemental SSA-8000-BK.
Transmit an SSA-450SI (SSI Data Input and Determination) after completing a full SSA-8000-BK.
Transmit the appeal request following the instructions in MSOM MSSICS 020.006.
Application for Supplemental Security Income, Form SSA-8000-BK, SI 00604.001
Requests for SSI Reconsideration, SI 04020.020
Application Date, SM 01005.030