Form i561 (Internet Ver i561 (Internet Ver Request for Reconsideration

Request for Reconsideration

i561 - Revised iAppeals Screens

Request for Reconsideration--Internet version (i561)

OMB: 0960-0622

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Appeal Request (561)
ap001 Welcome

Page 1

October 06, 2011

ap004 Can you use this online disability appeal

Page 2

October 06, 2011

ap005 Claimant information

Page 3

October 06, 2011

ap008rc Request for reconsideration

Page 4

October 06, 2011

ap010rc Submit your request for reconsideration (1st party)

Page 5

October 06, 2011

ap010rc Submit your request for reconsideration (3rd party)

Page 6

October 06, 2011

ap011rc Receipt for reconsideration (1st party)

).

Page 7

October 06, 2011

ap011rc Receipt for reconsideration (3rd party)

Page 8

October 06, 2011


File Typeapplication/pdf
File TitleMicrosoft Word - iAppeals - i561 - OMB 0960-0622.docx
Author177717
File Modified2011-12-06
File Created2011-12-06

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