Effective Dates: 08/30/2023 - Present Previous | Next

TN 10 (08-23)

GN 03102.450 Form SSA-662, Reconsideration Determination

A. Procedure

When preparing the SSA-662 or an equivalent, include the following:

  • •

    statement of jurisdictional factors — filing of application, date of notice of initial determination, date of request for reconsideration;

  • •

    basis of request for reconsideration;

  • •

    statement of issues;

  • •

    brief nontechnical statement of the applicable provisions of the law and regulation;

  • •

    statement of the facts and evidence as presented;

  • •

    findings of fact;

  • •

    conclusions based on findings of fact and applicable law and regulations.

If the claimant failed to respond to a request for additional evidence, include a statement that the decision was made without the benefit of any additional evidence which might have supported their position.

NOTE: To prepare reconsideration substantial gainful activity (SGA) affirmation notices, see DI 13010.145.

B. Exhibit - SSA-662 (Reconsideration Determination)

To view this form, go to SSA-662.

To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0203102450
GN 03102.450 - Form SSA-662, Reconsideration Determination - 08/30/2023
Batch run: 08/30/2023
Rev:08/30/2023