| Section |
|
Latest
Transmittal |
| DI 12095.001 |
General |
|
| DI 12095.005 |
SSA-561-U2 (Request for Reconsideration) |
|
| DI 12095.010 |
SSA-561-U2 SP (Solicitud Para Reconsideration) (Request for Reconsideration) |
|
| DI 12095.015 |
SSA-831-C3/U3 (Disability Determination and Transmittal) |
|
| DI 12095.020 |
SSA-832 (Cessation or Continuance of Disability or Blindness Determination and Transmittal
— Title XVI)
|
TN 4 06-20 |
| DI 12095.025 |
SSA-833 (Cessation or Continuance of Disability or Blindness Determination and Transmittal
— Title II)
|
TN 4 06-20 |
| DI 12095.030 |
SSA-3441-BK (Disability Report - Appeal) |
TN 7 09-24 |
| DI 12095.070 |
HA-501-U5 (Request for Hearing by Administrative Law Judge) |
|
| DI 12095.075 |
HA-501-U5 SP (Solicitud Para Audiencia) (Request for Hearing) |
|
| DI 12095.080 |
SSA-636 (Transmittal Notice - Hearing Case) |
|
| DI 12095.085 |
HA-4608 (Waiver of Your Right to Personal Appearance Before an Administrative Law
Judge)
|
|
| DI 12095.090 |
HA-4608 SP (Renuncia al Derecho de Comparecer Ante un Juez de Derecho Administrativo)
(Waiver of your right to personal appearance before an Administrative Law Judge)
|
|
| DI 12095.100 |
HA 520-U5 (Request for Review of Hearing Decision/Order) |
|
| DI 12095.110 |
Form SSA-1128 (Attorney Representation) |
|
| DI 12095.115 |
Form SSA-1696-U4 (Appointment of Representative) |
|
| DI 12095.117 |
SSA-1560-U4 (Petition For Authorization to Charge and Collect a Fee for Services Before
the Social Security Administration)
|
|
| DI 12095.120 |
HA-539 (Notice Regarding Substitution of Party Upon Death of Claimant) |
|
| DI 12095.125 |
Model Language SSI Notice of Planned Action - DA&A Provisions Apply |
|
| DI 12095.130 |
Model Language SSI Notice of Reconsideration - DA&A Finding Affirmed |
|
| DI 12095.135 |
Model Language SSI Notice of Planned Action - Noncompliance With Treatment Referral |
|
| DI 12095.140 |
Model Language SSI Notice of Planned Action - Individual Does Not Agree With Appropriateness/Availability
of Treatment
|
|
| DI 12095.145 |
Model Language SSI Notice of Decision - Post Eligibility (PE) Review of Noncompliance
Finding Treatment for DA&A Not Appropriate and/or Available - Recipient Still Required
to Receive Payments Through a Representative Payee
|
|
| DI 12095.150 |
Model Language SSI Notice of Reconsideration - DA&A Recipient Who Is in Noncompliance
with Treatment Requirement
|
|
| DI 12095.155 |
Model Language SSI Notice of Change - Reinstatement Notice to DAA Recipient Who Was
in Noncompliance with Treatment Requirement
|
|
| DI 12095.160 |
Model Language SSI Notice of Decision - Attainment of Age 65, Change of Category |
|
| DI 12095.165 |
Model Letters Regarding Benefit/Payment Continuation |
|
| DI 12095.170 |
Benefit/Payment Continuation Requests |
|
| DI 12095.171 |
SSA-795 Election Statement — Exhibits |
TN 2 10-06 |
| DI 12095.172 |
Appeals Council Remand of Medical Cessation -- Exhibits |
TN 2 10-06 |
| DI 12095.180 |
Model Language – Interim Notice – Reconsideration Reversal of an SGA Cessation When
a Medical Issue Exists
|
TN BASIC 11-02 |