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Click ‘Get Form’ to open the withdrawal hearing document in the editor.
Begin by entering your name, address, and contact information in the designated fields. Ensure accuracy as this information is crucial for identification.
If applicable, provide details for your representative, including their name and contact information. This section is important if someone else is assisting you with the process.
Fill in the Beneficiary Name and Health Insurance Claim (HIC) Number if they differ from your details. If not, leave these fields blank.
Indicate the ALJ Appeal Number associated with your case to help streamline processing.
In the statement section, clearly express your intention to withdraw your request for an ALJ hearing. You may use additional sheets if necessary to elaborate on your reasons.
Sign and date the form at the bottom. If a representative is completing it, ensure they sign as well after confirming their authority to act on your behalf.

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How do I fill out Form SSA 521?

To complete a SSA-521, you need to complete the following items: Name. Social security number. Type of benefit you wish to withdraw. Date of application. Whether you want to keep Medicare benefits. Reason for withdrawal. Signature of person making the request. Date.

Can you get a lump sum payment from Social Security?

Social Security's Lump Sum Death Payment (LSDP) is federally funded and managed by the U.S. Social Security Administration (SSA). A surviving spouse or child may receive a special lump-sum death payment of $255 if they meet certain requirements.

How do I cancel my Social Security hearing?

You or your representative can send the completed form or written statement to your local Social Security hearing office. If you have any questions, you may call the hearing office handling your case, or a local field office, and notify them that you wish to withdraw your request for hearing.

How do you cancel a fair hearing in NYC?

Withdraw a Fair Hearing Request by Telephone Please contact the New York Relay Service at 711 and request that the operator call us at 1 (877) 502-6155. Service at this number will only be provided to callers using TDD equipment.

Can you start Social Security and then stop it?

If you change your mind about starting your benefits, you can cancel your application for up to 12 months after you became entitled to retirement benefits. This process is called a withdrawal. You can reapply later. You are limited to one withdrawal per lifetime.

How do you withdraw money from Social Security?

You can apply to withdraw benefits with Social Security form SSA-521. Send or hand-deliver the completed form to your local Social Security office. Once Social Security approves your withdrawal, you have 60 days to change your mind and retract the withdrawal request.

How do I find out my Social Security benefit amount?

Most people can receive an estimate of their benefit based on their actual Social Security earnings record by going to www.socialsecurity.gov/estimator. You also can calculate future retirement benefits by using the Social Security Benefit Calculators at www.socialsecurity.gov.

Can I withdraw my SSDI application?

If you change your mind about starting your benefits, you can cancel your application for up to 12 months after you became entitled to retirement benefits. This process is called a withdrawal. You can reapply later. You are limited to one withdrawal per lifetime.

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