Request for Hearing By Administrative Law Judge--Paper/MCS/MSSICS Versions

Request for Hearing By Administrative Law Judge

OMB: 0960-0269

IC ID: 9174

Documents and Forms

Document Name Document Type
Form HA-501 Request for Hearing By Administrative Law Judge--Paper/MCS/MSSICS Versions Form and Instruction
HA-501 Request for Hearing By Administrative Law Judge HA-501 (revised).pdf Form and Instruction
SSI Claims System Appeals Screens in Path Order.pdf Other-Internal SSI Claims System Screens
MCS Appeals screens - HA-501.docx Other-Internal MCS Screens
HA-501 Privacy Act Statement (revised).docx Other-Revised PA and PRA Statements
HA-501 (current).pdf Current HA-501 IC Document