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To submit a Request to Withdraw a Hearing Request (Form HA-85) online click the link below to begin. You may also send a written statement requesting a withdrawal of your hearing request. You or your representative can send the completed form or written statement to your local Social Security hearing office.
Form SSA 521 walkthrough (Request for Withdrawal of Application) YouTube Start of suggested clip End of suggested clip Example. You would then write your information in the second line first name middle name initial.MoreExample. You would then write your information in the second line first name middle name initial. And last name followed by your social security number obviously if you are the applicant.
Withdrawal of a Representative If you wish to withdraw your acceptance of the appointment, you must sign and date the withdrawal and file it with us either in- person at your local field office, mail it, or fax it to us. You should also tell the claimant.
This online service allows you to electronically complete, sign, and submit the Request to Withdraw an Appeals Council Request for Review (Form HA-86). You may use this online service as an alternative to completing a paper version of this form. To complete the form online, you will need a valid email address.