Request for Review of Hearing Decision/Order - Internet Version

SCREEN PACKAGE DOCUMENT (SCREENSHOTS ONLY)
OAO IAPPEALS NON-MEDICAL:
INTERNET VERSION 1.1

Screen Package Document – OAO iAppeals Non-Medical: Internet Version 1.1

Table of Contents
1. Design Screen Package Document Version Information .................................................................................... 4
2. Initial Screen........................................................................................................................................................ 5
2.1. Getting Ready............................................................................................................................................... 5
3. Screening ............................................................................................................................................................. 8
4. Notice of Decision ............................................................................................................................................... 9
4.1. Notice of Decision - Yes ............................................................................................................................... 9
4.2. Notice of Decision - No .............................................................................................................................. 10
5. Who is Entering Appeal ..................................................................................................................................... 11
5.1. Who is Entering Appeal 1st Party ............................................................................................................... 11
5.2. Who is Entering Appeal 3rd Party ............................................................................................................... 12
5.3. Who is Entering Appeal 3rd Party – Appointed Representative................................................................ 13
5.4. Who is Entering Appeal 3rd Party – Preparer, Other than Appointed Representative.............................. 13
5.5. Who is Entering Appeal 3rd Party – Other Preparer .................................................................................. 14
6. Applicant Information ....................................................................................................................................... 15
6.1. Applicant Information 1st Party................................................................................................................. 15
6.2. Applicant Information 1st Party – Home Address is different from Mailing Address ................................ 16
6.3. Applicant Information 3rd Party ................................................................................................................. 17
6.4. Applicant Information 3rd Party – Home Address is different from Mailing Address ............................... 18
7. Representative Information .............................................................................................................................. 19
7.1. Representative Information 1st Party ........................................................................................................ 19
7.2. Preparer Information 3rd Party .................................................................................................................. 21
7.3. Representative Information 3rd Party ........................................................................................................ 22
8. Request for Review ........................................................................................................................................... 24
8.1. Request for Review 1st Party ...................................................................................................................... 24
8.2. Request for Review 3rd Party ..................................................................................................................... 27
9. Attach Files ........................................................................................................................................................ 28
9.1. Attach Files 1st Party .................................................................................................................................. 28
9.2. Attach Files 1st Party – If either “Yes, I have paper documents” OR “No, I don’t have any documents to
submit” is selected, File Details panel is not shown. User is taken to Summary. ............................................ 28
9.3. Attach Files 1st Party – If either “Yes, I have documents in electronic format” OR “Yes, I have both
electronic and paper documents” is selected, show File Details panel. .......................................................... 29
9.4. Attach Files 1st Party – File Added ............................................................................................................. 31
9.5. Attach Files 3rd Party .................................................................................................................................. 32

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9.6. Attach Files 3rd Party – If either “Yes, paper documents” OR “No, no documents to submit” is selected,
File Details panel is not shown. User is taken to Summary. ............................................................................. 32
9.7. Attach Files 3rd Party – If either “Yes, documents in electronic format” OR “Yes, both electronic and
paper documents” is selected, show File Details panel. .................................................................................. 33
9.8. Attach Files 3rd Party – File Added ............................................................................................................. 34
10. Summary ......................................................................................................................................................... 35
10.1. Summary 1st Party .................................................................................................................................... 35
10.2. Summary 3rd Party ................................................................................................................................... 36
11. Confirmation ................................................................................................................................................... 37
11.1. Confirmation 1st Party .............................................................................................................................. 37
11.2. Confirmation 3rd Party – Preparer ........................................................................................................... 38
11.3. Confirmation 3rd Party – Appointed Representative ............................................................................... 39
12. Receipt ............................................................................................................................................................ 40
12.1. Receipt 1st Party ....................................................................................................................................... 40
12.2. Receipt 3rd Party ..................................................................................................................................... 41
13. Cover Sheet ..................................................................................................................................................... 42
13.1. Cover Sheet 1st Party................................................................................................................................ 42
13.2. Cover Sheet Popup 3rd Party .................................................................................................................... 43
14. Message Pages ................................................................................................................................................ 44
14.1. Message 010 - Authorization Failure ....................................................................................................... 44
14.2. Message 024 - Cookies Disabled .............................................................................................................. 44
14.3. Message 025 - Session Timeout............................................................................................................... 45
14.4. Message 027 - We are processing your request...................................................................................... 46
14.5. Message 028 - This service is not available at this time .......................................................................... 46
14.6. Message 030 - We are processing your request...................................................................................... 47
14.7. Message 045 - Service Hours ................................................................................................................... 47
14.8. Message 052 - SSN Blocked ..................................................................................................................... 48
14.9. Message 113 - Number of Attempts Limit............................................................................................... 48
14.10. Message 151 – Unable to Verify ZIP ...................................................................................................... 49

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Screen Package Document – OAO iAppeals Non-Medical: Internet Version 1.1

1. Design Screen Package Document Version Information
The first release of this design Screen Package document as a project deliverable is numbered 1.0.
Subsequent revisions are numbered 1.1, 1.2, 1.3, etc. Content revisions are listed below with corresponding
page numbers.

Version
Number
1.0 (First
Release)

Date
08/16/2017

Content Revisions

Page
Number

Revised
by

Primary Author and Contact: Michelle Moses-Yearwood
Secondary Contacts: OAO iAppeals Non-Medical UX Team (Sheila Y. Lee, Elizabeth
Solovyeva, Anne Gonnella, Robyn Chester)

1.1 (First
Revision)

08/25/2017

Updated the wording on “Information You Need” page.

6

Updated wording on “Notice of Decision” page.

9, 10

Updated the “SSA Program Title” drop list.

25

Replaced screenshot for “Attach Files 1st Party”

28

Updated the “Document Type” drop down list.

30

Moved Help popup messages closer to their parent pages.

6, 7, 25, 26

Added screens for error messages

44-49

ES

1.2 (Second
Revision)
1.3 (Third
Revision)

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2. Initial Screen
2.1. Getting Ready

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2.1.1. Information You Need

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2.1.2. Appointed Representative

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3. Screening

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4. Notice of Decision

4.1. Notice of Decision - Yes

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4.2. Notice of Decision - No

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5. Who is Entering Appeal

5.1. Who is Entering Appeal 1st Party

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5.2. Who is Entering Appeal 3rd Party

5.2.1. Drop Down List “What is your relationship to Jane Doe?”

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5.3. Who is Entering Appeal 3rd Party – Appointed Representative

5.4. Who is Entering Appeal 3rd Party – Preparer, Other than Appointed Representative

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5.5. Who is Entering Appeal 3rd Party – Other Preparer

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6. Applicant Information
6.1. Applicant Information 1st Party

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6.2. Applicant Information 1st Party – Home Address is different from Mailing Address

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6.3. Applicant Information 3rd Party

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6.4. Applicant Information 3rd Party – Home Address is different from Mailing Address

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7. Representative Information
7.1. Representative Information 1st Party

7.1.1. Representative Information 1st Party – No

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7.1.2. Representative Information 1st Party – Yes, There Is a Representative

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7.2. Preparer Information 3rd Party

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7.3. Representative Information 3rd Party

7.3.1. Representative Information 3rd Party – No

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7.3.2. Representative Information 3rd Party – Yes, There Is a Representative

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8. Request for Review
8.1. Request for Review 1st Party

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8.1.1. Drop Down List “SSA Program Title”

8.1.2. Where to find this date

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8.1.3. Where to find the SSA program title

8.1.4. Extension of Time

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8.2. Request for Review 3rd Party

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9. Attach Files
9.1. Attach Files 1st Party

9.2. Attach Files 1st Party – If either “Yes, I have paper documents” OR “No, I don’t have any
documents to submit” is selected, File Details panel is not shown. User is taken to Summary.

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9.3. Attach Files 1st Party – If either “Yes, I have documents in electronic format” OR “Yes, I
have both electronic and paper documents” is selected, show File Details panel.

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9.3.1. Attach Document – File Details

9.3.2. Drop Down List “Document Type”

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9.4. Attach Files 1st Party – File Added

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9.5. Attach Files 3rd Party

9.6. Attach Files 3rd Party – If either “Yes, paper documents” OR “No, no documents to
submit” is selected, File Details panel is not shown. User is taken to Summary.

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9.7. Attach Files 3rd Party – If either “Yes, documents in electronic format” OR “Yes, both
electronic and paper documents” is selected, show File Details panel.

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9.8. Attach Files 3rd Party – File Added

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10. Summary
10.1. Summary 1st Party

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10.2. Summary 3rd Party

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11. Confirmation
11.1. Confirmation 1st Party

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11.2. Confirmation 3rd Party – Preparer

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11.3. Confirmation 3rd Party – Appointed Representative

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12. Receipt
12.1. Receipt 1st Party

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12.2. Receipt 3rd Party

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13. Cover Sheet
13.1. Cover Sheet 1st Party

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13.2. Cover Sheet Popup 3rd Party

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14. Message Pages
14.1. Message 010 - Authorization Failure

14.2. Message 024 - Cookies Disabled

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14.3. Message 025 - Session Timeout

14.3.1. Message 026 - We cannot process your request

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14.4. Message 027 - We are processing your request

14.5. Message 028 - This service is not available at this time

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14.6. Message 030 - We are processing your request

14.7. Message 045 - Service Hours

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14.8. Message 052 - SSN Blocked

14.9. Message 113 - Number of Attempts Limit

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14.10. Message 151 – Unable to Verify ZIP

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