Waiver of Right to Appear--Disability Hearing

OMB 0960-0534

OMB 0960-0534

Claimants for Social Security disability payments or their representatives can use Form SSA-773-U4 to waive their right to appear at a disability hearing. The disability hearing officer uses the signed form as a basis for not holding a hearing, and for preparing a written decision on the claimant’s request for disability payments based solely on the evidence of record. The respondents are disability claimants for Social Security benefits or SSI payments, or their representatives, who wish to waive their right to appear at a disability hearing.

The latest form for Waiver of Right to Appear--Disability Hearing expires 2021-08-31 and can be found here.


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