Complete an SSA-832 in every case with a decision. Enter in the remarks section, “This decision is based
on the hearing held on (date of hearing).” For special coding instructions, see DI 23570.025 Processing Childhood and Age 18 Disability Redeterminations.
DHO cover notice
Prepare and release the DHO cover notice with the DHO decision.
Refer to DI 33015.025 and DI 33095.100 for a sample Notice of Reconsideration without benefit continuation. Do not use any
fill-in that refers to medical improvement. For a fully favorable decision – Notice
of Reconsideration with benefit continuation, suggested language follows:
Suggested Language for a Fully Favorable Decision
Social Security Administration
Supplemental Security
Notice of Reconsideration
Date:
Name
Address
City, State, and Zip Code
We are writing to let you know that we have made our disability hearing decision on
your case.
Our Decision
We find that your disability began (insert date of disability here).
We have attached the hearing decision to this letter. Our decision deals only with
whether you are disabled. If our decision causes a change in your benefits, you will
receive a separate letter.
If you agree with our decision, you do not have to do anything.
If you Disagree with The Decision
If you disagree with the decision, you have the right to ask for a hearing. At the
hearing, a person who has not seen your case before will review your case again. That
person is an Administrative Law Judge (ALJ). In this review, the ALJ will consider
any new facts you have.
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•
You will have 60 days to ask for a hearing
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•
The 60 days start the day after you receive this letter. We assume you will receive
this letter within five (5) days after the date that appears above, unless you can
show us that you did not receive the letter within five days.
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•
You must provide a good reason for a delay if you wait more than 60 days to ask for
a hearing.
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•
Your request for a hearing must be in writing. We will ask you to sign Form SSA-501,
called a ‘Request for a Hearing.’ Contact the nearest Social Security Administration
office for a copy of this form and if you need help.
Enclosures:
Hearing Decision