SSA 561 U2 Form Form

An SSA 561 U2 form is also known as a Request for Reconsideration. This form is used by an individual who was denied social security disability or supplemental security income (SSI) for a medical reason. This form is an alternative to applying for reconsideration online. It's important to note that in addition to completing this form, you'll also need to include information related to your disability and an authorization for medical professionals to provide your information to the SSA.

What is a SS 561 U2?

A SSA 561 U2 form is used by the Social Security Administration. The form is used as a Request for Reconsideration. This can be used if someone was denied Social Security benefits like disability or supplemental security income due to a medical reason. People can also appeal the Social Security Administration's decision based on non-medical reasons, such as the amount of time worked or an overpayment.
This form is used if someone does not wish to file their appeal online. It should include the person's social security number as well as their claim number. When sending in this form, you will also need to include a copy of the disability report as well as an authorization to disclose information to the Social Security Administration.

How to complete an SSA 561 U2 (Step by Step)

To complete a Form SSA-561-U2, you will need to provide the following information:

  • Name of claimant
  • Claimant SSN
  • Claim number
  • Issue being appealed
  • Reason for disagreement with SSA’s determination
  • Selection of method of appeal:
    • Case review - this can be used in all types of cases
    • Informal conference - this can be used in all SSI cases except for medical issues and in SVB cases that are stopping or lowering a SVB payment
    • Formal conference - this can only be used if the SSA is stopping or lowering your SSI or SVB payment
  • Contact information
    • Signature
    • Mailing address
    • Phone number
    • Date
    • Name of claimant’s representative
    • Representative’s address, phone number, date

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Sample SSA 561 U2 Form

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Sample SSA 561 U2 Form

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