Effective Dates: 01/17/2019 - Present Previous | Next

TN 2 (01-19)

DI 40505.900 Forms Used in Adjudication of Disability Cases

A. SSA Request for Case Action

SSA-847-U3 (09-1986; ef 10-2004) SSA Request for Case Action

Form SSA-847-U3 SSA Request for Case Action

B. Continuing Disability Review

SSA-899-U2 (05-1979) Continuing Disability Review

To view this form, go to SSA-899-U2.

 

C. Request for Assistance - Disability

SSA-5526-U3 (02-2005) Request for Assistance – Disability

Form SSA-5526-U3 Request for Assistance

 

D. Potential Suicide/Homicide Case Flag

Potential Suicide/Homicide Case flag -- See DI 81020.085, Certified Electronic Folder (CEF) Flags, for instructions for placing this flag into the CEF.

Potential Suicide/Homicide Case Flag

 

To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0440505900
DI 40505.900 - Forms Used in Adjudication of Disability Cases - 01/17/2019
Batch run: 08/07/2019
Rev:01/17/2019