· HA-85 Request to Withdraw a Hearing Request
· HA-539 Notice Regarding Substitution of Party Upon Death of Claimant
· HA-4631 Claimant’s Recent Medical Treatment
· HA-4633 Claimant’s Work Background
· SSA-3 Marriage Certification
· SSA-25 Certificate of Election for Reduced Spouse’s Benefits
· SSA-44 Medicare Income-Related Monthly Adjustment Amount – Life-Changing Event
· SSA-263 Waiver of Supplemental Security Income Payment Continuation
· SSA-371 Request for Reinstatement – Title II
· SSA-455 Disability Update Report
· SSA-552 Dedicated Account Use of Funds Statement
· SSA-753 Statement Regarding Marriage
· SSA-766 Statement of Self-Employment Income
· SSA-789 Request for Reconsideration – Disability Cessation – Right to Appear
· SSA-792 Statutory Benefit Continuation Election Statement
· SSA-795 Statement of Claimant or Other Person
· SSA-820-BK Work Activity Report – Self-Employment
· SSA-821-BK Work Activity Report – Employee
· SSA-827 Authorization to Disclose Information to the Social Security Administration
· SSA-1021 Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs
· SSA-2574 Information About Joint Checking / Savings Accounts
· SSA-3369-BK Work History Report
· SSA-3377-BK Function Report – Child (Age 3 to 6th Birthday)
· SSA-3378-BK Function Report – Child (Age 6 to 12th Birthday)
· SSA-3379-BK Function Report – Child (Age 12 to 18th Birthday)
· SSA-4111 Certificate of Election for Reduced Widow(er)’s and Surviving Divorced Spouse’s Benefits
· SSA-4178 Marital Relationship Questionnaire
· SSA-8240 Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers
· SSA-8510 Authorization for the Social Security Administration to Obtain Personal Information