Last Update: 3/3/2025 (Transmittal I-2-269)

HA 01295.012 Evaluating Allegations of Fraud or Similar Fault by the Claimant or Representative

Renumbered from HALLEX section I-2-10-12

A. Addressing Allegations of Fraud or Similar Fault

If a claimant or appointed representative alleges fraud or similar fault was involved in the providing of evidence, Office of Hearings Operations (OHO) staff and adjudicators will follow the procedures in Hearings, Appeals, and Litigation Law (HALLEX) manual HA 01130.015 and HA 01295.000 to resolve any fraud or similar fault issues in accordance with Social Security Ruling 22-2p: Titles II and XVI: Evaluation of Claims Involving the Issue of Similar Fault in the Providing of Evidence.

The hearing decision will specifically address the issue of fraud or similar fault raised by the allegation(s) following guidance in HALLEX HA 01295.014.

In all cases, OHO staff and adjudicators will refer a claimant's or representative's allegation(s) of fraud or similar fault consistent with HALLEX HA 01210.033 B.1.

B. Addressing Allegations of Fraud or Similar Fault Based on Information Related to Another Party

If the claimant or representative alleges that supporting information from a non-party's claim(s) file establishes a particular pattern of fraud or similar fault, the adjudicator cannot consider the allegation because the information does not relate to the claimant or a party to the hearing. The adjudicator instead will follow the guidance in HALLEX HA 01210.024 C.3. to address the allegation.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/2501295012
HA 01295.012 - Evaluating Allegations of Fraud or Similar Fault by the Claimant or Representative (I-2-10-12) - 03/03/2025
Batch run: 04/20/2025
Rev:03/03/2025