Get Ssa-789-u4 2015

The SSA-789-U4 is a crucial form for individuals seeking reconsideration of their disability benefits cessation. This guide will provide a clear, step-by-step approach to filling out the form online, ensuring users understand each section and field.

Follow the steps to complete your SSA-789-U4 form online.

1. Click ‘Get Form’ button to obtain the SSA-789-U4 form and open it in the online editor.
2. Begin filling in the 'Name of claimant' section with the full name of the individual requesting reconsideration. Ensure to include the correct social security number.
3. If the claimant is different from the wage earner or self-employed person, fill in their name and social security number in the designated fields.
4. In the 'Benefit Continuation' section, specify if it pertains to Supplemental Security Income or another type of benefit based on your case.
5. Clearly state your reasons for disagreeing with the decision to stop disability benefits. Be specific and relevant to the basis of the initial decision.
6. If your notification was received over 65 days ago, provide an explanation for the delay in your request.
7. In the additional information section, state if you are submitting more documents or write 'NONE' if not applicable. Attach an additional page if necessary.
8. Choose either option one (requesting a face-to-face hearing) or option two (wishing to proceed without a hearing). If you require an interpreter, indicate the language needed.
9. As the claimant or representative, sign and date the form. If the signature is a mark (X), two witnesses must also sign, providing their addresses.
10. After completing the form, review for accuracy, and save your changes. You can then download, print, or share the completed form as needed.

Complete your SSA-789-U4 form online today to ensure your request for reconsideration is properly submitted.