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The document is a Request for Reconsideration form from the Social Security Administration, allowing claimants to appeal decisions regarding their claims for Supplemental Security Income (SSI) or Special Veterans Benefits (SVB). It outlines the process for filing an appeal, including three options: Case Review, Informal Conference, and Formal Conference. The form requires personal information from the claimant and details about the claim being contested. It also includes instructions on how to submit the form and provides information on initial determinations related to benefits.

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Versions	Form popularity	Fillable & printable
2022	4.8 Satisfied (170 Votes)
2022	4.7 Satisfied (138 Votes)
2019	4.4 Satisfied (204 Votes)
2016	4.3 Satisfied (231 Votes)
2015	4.4 Satisfied (1008 Votes)
2013	4.2 Satisfied (57 Votes)
2012	4 Satisfied (43 Votes)
2010	4 Satisfied (30 Votes)
2007	4.1 Satisfied (37 Votes)
2003	4 Satisfied (41 Votes)
2002	4.4 Satisfied (58 Votes)

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