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Request for Review of Decision/Order of Administrative Law Judge - Form HA-520 |
Introduction |
If you do not agree with the decision or order an Administrative Law Judge (ALJ) made on your claim, you may ask the Appeals Council to review the ALJ's action. To do this, you may use this form or write a letter. If you are not sure this is the form you should use, the notice you
received will tell you that to appeal the ALJ's decision or order you
must request Appeals Council review. If the notice does not say this,
or you are still not sure this is the form you should complete, call You must file your appeal within 60 days from the date you got the hearing decision or order. We assume that you got the hearing decision or order within 5 days of the date shown on the notice unless you can show us you did not get it within the 5-day period. Time to Submit New Evidence: You should submit any new evidence you want the Appeals Council to consider with your request for review. If you need additional time to submit evidence, you must request it when you file your request for review. |
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How to Obtain the Form |
Below you will find Form in Portable Document Format (PDF). To print the PDF version, you will need the Adobe Acrobat reader software. If you do not already have this special software, see our page on downloading and printing PDF documents. After you download the Adobe Acrobat Reader, come back to this page and download the PDF version of the HA-520:
Request for Review of Decision/Order of Administrative Law Judge Form
HA-520 |
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How to Complete the Form; |
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Where To Send The Form |
Print the PDF HA-520 on 8 1/2 x 11 inch paper and complete and sign the
form. You may file this form (or your letter) with your local Social Security
office. If you are not sure where your local office is located, try our
Social Security Office Locator service
or call |
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Last reviewed or modified Monday Jan 14, 2008 |