REQUEST FOR RECONSIDERATION - Form SSA-561-U2

FIRST APPEAL: This request is made by completing the SSA-561-U2, Request for Reconsideration. If you are uncertain whether this is the appropriate request to file, the letter you received explains our determination and contains a paragraph specifically mentioning your right to file a request for reconsideration.

OVERPAYMENT: If you have been overpaid, and do not agree with the fact or the amount of the overpayment, you should complete the SSA-561-U2, Request for Reconsideration.

If you feel you are overpaid but you should not have to pay back the overpayment you should complete a form SSA-632-BK, Request for Waiver of Recovery of an Overpayment.

If you both disagree with the fact you are overpaid (or the amount) and feel, if it is determined you are overpaid, you should not have to refund the overpayment, you can file both requests, SSA-561-U2 and SSA-632-BK.

EVIDENCE: You should present any evidence you have that shows the original determination was incorrect. In the case of a denied claim for a disability benefit you must complete and sign additional forms. These forms are the SSA-3441-F6 , Reconsideration Disability Report, and SSA-827 , Authorization to Disclose Information to SSA.

If you have further questions about filing for reconsideration call 1-800-772-1213, or contact your local SSA office. If you contact us be sure to have available any letters to which you may be referring.

Below you will find the FORM SSA-561-U2 REQUEST FOR RECONSIDERATION in Portable Document Format (PDF).. The PDF permits you to print out a duplicate of the original form using ANY graphics printer. The PDF was developed by Adobe Systems, Inc. and allows the reader to print a publication close in appearance to the original printed version, preserving typography, columns, charts, tables and graphics.

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After you download the Adobe Acrobat Reader, come back to this page and download the PDF version of the SSA-561-U2 below. Remember to enable the "Load to Disk" capability of your WWW browser prior to downloading the SSA-561-U2 in either PDF format. PDF files are printer independent and should print easily on any graphics printer (i.e., laser, inkjet, dot-matrix).

SSA-561-U2 in