SSA-827 (with electronic signature(eAuthorization)

Medical Release Form 827 Pages – Internet Appeals
Individuals are directed to PDF versions of other SSA forms that may be needed in the appeals
process (i.e., SSA-1696 and SSA-827). They are also instructed to print, sign, date and return the
PDF forms to the local SSA office. First party applicants are given an option to electronically sign or
Print, Sign and Mail the SSA-827 to their local SSA office. The address of the local office is provided,
based on the claimant's zip code. Third party users do not have the option to electronically sign the
SSA-827.

Review and send:Medical Release Form