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Appearance before 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your name in the 'Claimant' field. If the wage earner is different, fill that section; otherwise, leave it blank.
- Input your Social Security Claim Number in the designated fields. Ensure accuracy to avoid processing delays.
- Read the PRIVACY ACT statement carefully. This informs you about how your information will be used.
- In the provided space, clearly state your reason for waiving your right to a personal appearance before an Administrative Law Judge.
- Sign and date the form at the bottom. If applicable, include the signature of an authorized representative.
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