Get Ssa Form 09600269

Completing the Ssa Form 09600269 online can streamline the process of requesting a hearing before an administrative law judge. This guide provides clear, step-by-step instructions to assist you in accurately filling out the form.

Follow the steps to successfully complete the Ssa Form 09600269.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter your full name as the claimant in the first field. This is essential for identification purposes.
3. Provide your Social Security number (SSN) in the designated field. Ensure accuracy to avoid delays.
4. If applicable, enter your claim number in the next section. This will help in tracking your request.
5. If you have a spouse who is not the wage earner, fill in their name next. If their claim number or SSN is different, include that information.
6. Indicate your wish to have a hearing by checking the appropriate box, stating your disagreement with the determination made on your claim.
7. If you have additional evidence to submit, check 'Yes' and provide the name and address of the source for this evidence.
8. Choose whether you wish to appear at the hearing or have a decision made based on the evidence alone. Complete Waiver Form HA-4608 if applicable.
9. You may declare your understanding of the truth of the information provided by signing and dating the form.
10. If you have a representative, provide their signature, name, and contact information in the appropriate fields.
11. Review all information for accuracy. Once confirmed, you can save changes, download, print, or share your completed form.

Complete the Ssa Form 09600269 online today to move forward with your request for a hearing.