If a claimant is dissatisfied with an ALJ’s hearing decision, or order of dismissal,
the claimant may request AC review of the hearing decision, or order of dismissal.
A claimant may specifically ask for a review, or imply that he or she is requesting
a review. You may find an implied request for review when a claimant expresses disagreement
or dissatisfaction with the ALJ's action, or expresses his or her intent to pursue
appeal rights. However, a claimant must make the request (e.g., walk-in, mail, fax,
or email) for AC review by submitting to us in writing:
a completed Form HA-520-U5 (Request for Review of Hearing Decision/Order), or
a letter, fax, email message, or other written document.
Note: As of June 16, 2018, the i520, the equivalent of the paper form HA-520 (Request for
Review of Hearing Decision/Order), is available in iAppeals. Claimants use the i520
to request Appeals Council review of a disability or non-medical hearing decision.
We do not require a signature on the Form HA-520-U5 or any other written request for
AC review. For procedures to obtain a written request for AC review, see SI 04040.020C.2. through SI 04040.020C.4.