Important Forms

Adult SSD/SSI Appeal Packet:
Request for Reconsideration

Request for
Reconsideration Form
SSA-561-U2 Disability Report
Appeal (Adult) Form
SSA-3441-BK SSA’s Release of
Information Form
SSA-827

Adult SSD/SSI Appeal Packet:
Request for Hearing

Request for
Hearing Form
HA-501-U5 Disability Report
Appeal (Adult) Form
SSA-3441-BK SSA’s Release of
Information Form
SSA-827

Child’s SSI Appeal Packet:
Request for Reconsideration

Request for
Reconsideration Form
SSA-561-U2 Disability Report
(Child’s) Form
SSA-3820-BK SSA’s Release of
Information Form
SSA-827

Child’s SSI Appeal Packet:
Request for Hearing

Request for
Hearing Form
HA-501-U5 Disability Report
(Child’s) Form
SSA-3820-BK SSA’s Release of
Information Form
SSA-827
SSD, SSI, Child’s SSI
New-Client Packet Law Firm Authorization to
Release Information Form Attorney Fee Agreement Form Appointment of
Representation Form
SSA-1696-U4 Direct Fee Form
SSA-1695 SSD, SSI, Child’s SSI
New-Client Memo
 SSD, SSI and Child’s SSI Updated
Medical and School Form SSD/SSI Pre-Hearing
Prep. Packet Personal Injury/
Auto Accident
New-Client Packet