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Request for Review of Hearing Decision/Order
This form is needed in order to afford claimants their statutory right under the Social Security Act to request review of a hearing decision. The data is used to determine the course of action appropriate to resolve each issue.
Form #:  HA 520 U5
Agency:  Social Security Administration
  TYPE PAGES SIZE (KB) CAPABILITY WHAT'S
NEEDED
pdf Form Only 10 95719 [2] Printable Only Adobe Reader Download  

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