Office of Hearings and Appeals
Forms

The following forms are commonly used in dealings with the Office of Hearings and Appeals. If you do not see a particular form that you are looking for here, please try Social Security's Online Forms Pages for a complete and comprehensive collection of all SSA forms available online, or contact a Hearing Office for further assistance.

SSA offers our forms in Portable Document Format (PDF). PDF files are printer independent using any printer. In order to view or print these files in PDF format, you need Adobe's Acrobat® reader. If you don't have it, you may download and install the free Acrobat Reader on your computer now. See How To Access PDF Documents for more information.

SSA forms should be printed on 8 1/2" x 11" white paper. You must print the form with blue or black ink to be acceptable to SSA.

Disability Forms (.pdf)

Application for Disability Insurance Benefits – SSA 16

Appeals Forms (.pdf)

Request for Reconsideration – SSA 561

Request for Hearing  - SSA 501

Disability Report, Appeal - SSA 3441

Appointment of Representative  - SSA 1696

Request for Review of Hearing Decision/Order – HA 520