Request for Review of Hearing Decision/Order

Claimants who disagree with a judge’s hearing decision, or dismissal of a hearing request on Title II and Title XVI claims have the right under current SSA regulations to request Appeals Council (AC) review. Claimants may request Appeals Council review by filing a written request using paper Form HA-520; uploading the fillable static PDF of Form HA-520 through SSA’s Upload Documents portal (OMB No. 0960-0830), or submitting the Internet application, i520. In addition, they may submit additional evidence or arguments to support their request for review at the same time. SSA uses the information gathered on Form HA-520 to establish that the claimant filed the request for review within the prescribed time and to ensure the claimant completed the requisite steps permitting the AC review. The AC uses the information to: (1) document the claimant’s reason(s) for disagreeing with the hearing decision or dismissal order; (2) determine whether the claimant has additional evidence to submit; (3) determine whether the claimant is requesting an extension of time, and (4) help determine whether the claimant has a representative or wants to appoint one, regardless of if they had a representative for their hearing request. In situations where the respondent submits the HA-520 or i520 without providing additional evidence or argument, or requesting an EOT, the AC reviews the request based on the existing file. The respondents are claimants, or their appointed representative, guardian, parent of a minor claimant, or representative payee, requesting review of a hearing decision or order of dismissal.

The latest form for Request for Review of Hearing Decision/Order expires 2029-10-31 and is listed under ICR 202603-0960-006.

View the official OMB control history on Reginfo.gov.

Request for Review of Hearing Decision/Order - Paper Version (or Upload Documents Fillable PDF Version)

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