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Form Approved OMB NO. 09600671 ACKNOWLEDGEMENT OF RECEIPT (NOTICE OF HEARING) (COMPLETE THIS FORM AND RETURN IT AT ONCE IN THE ENVELOPE PROVIDED. NO POSTAGE IS NECESSARY) Claimant: Social Security.

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How to fill out the Ha 504 online

The Ha 504 form is an important document for individuals who are part of a hearing process under the Social Security Administration. This guide provides a comprehensive approach to filling it out online, ensuring that users can navigate each section with confidence.

Follow the steps to complete the Ha 504 form efficiently.

  1. Click ‘Get Form’ button to access the Ha 504 form and open it in your preferred editor.
  2. In the first section, provide your full name as the claimant. Ensure that you use your legal name as it appears on your Social Security documents.
  3. Enter your Social Security number in the designated field. This is essential for processing your information accurately.
  4. Fill in the name of the wage earner, if applicable, in the next field. This may be necessary if your hearing relates to their earnings.
  5. Locate the hearing office details. Here, provide the specific office of hearings and appeals where your case will be managed.
  6. Indicate the name of the Administrative Law Judge (ALJ) assigned to your case. If you do not know this information, it may be included in your notice of hearing.
  7. Specify the scheduled date and time of the hearing. Ensure that this information is correct to avoid any complications.
  8. In the next section, choose your attendance option by checking the appropriate box. You can indicate whether you will be present or need to reschedule the hearing.
  9. If you cannot attend, use the space provided to explain your reason for rescheduling. Be clear and provide any necessary details.
  10. Sign and date the form at the bottom. Also, include a contact number where you can be reached if any follow-up is required.
  11. If your address has changed, write your new address clearly in the designated section.
  12. Review all entries for accuracy. Once finalized, you can save changes, download, print, or share the completed form as required.

Complete your Ha 504 form online today to ensure a smooth hearing process.

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