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Get SSA-561-U2 2022-2023

F different than SSN) ISSUE BEING APPEALED: (Specify if retirement, disability, hospital or medical, SSI, SVB, overpayment, etc.) I do not agree with the Social Security Administration's (SSA) determination and request reconsideration. My reasons are: SUPPLEMENTAL SECURITY INCOME (SSI) OR SPECIAL VETERANS BENEFITS (SVB) RECONSIDERATION ONLY THREE WAYS TO APPEAL I want to appeal your determination about my claim for SSI or SVB. I have read about the three ways to appeal. I have checked the box.

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