Ssa 789 2012 form-2025

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The document is a 'Request for Reconsideration' form from the Social Security Administration, used by claimants to contest the cessation of their disability benefits. It outlines the process for requesting a reconsideration, including options for a face-to-face hearing or submitting additional information without appearing in person. The form requires personal details of the claimant and any representatives, as well as an acknowledgment of the legal implications of providing false information. It also includes privacy notices regarding the use of provided information.

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2019	4.9 Satisfied (52 Votes)
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2012	4.4 Satisfied (108 Votes)
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