Ha 501 u2 2003 form-2025

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36 votes

The document is the U.S. Social Security Administration Form SSA-HA-501, which is a request for a hearing by an Administrative Law Judge regarding a disagreement with a claim determination. It outlines the process for submitting the request, including providing personal information, indicating whether additional evidence will be submitted, and the option to appear at the hearing or waive that right. The form also includes sections for representation and acknowledgment of receipt by the Social Security Administration.

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Versions	Form popularity	Fillable & printable
2022	4.8 Satisfied (52 Votes)
2015	4.9 Satisfied (46 Votes)
2012	4.4 Satisfied (38 Votes)
2007	4 Satisfied (54 Votes)
2003	4 Satisfied (36 Votes)

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