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Request a disability reconsideration: If you applied for Social Security or Supplemental Security Income (SSI) disability benefits and were denied for medical reasons, you may request an appeal online.

SEND OR BRING THE COMPLETED FORM TO YOUR LOCAL SOCIAL SECURITY OFFICE. You can find your local Social Security office through SSA's website at www.socialsecurity.gov. Offices are also listed under U. S. Government agencies in your telephone directory or you may call Social Security at 1-800-772-1213 (TTY 1-800-325-0778).

SEND THE COMPLETED FORM TO YOUR LOCAL SOCIAL SECURITY OFFICE. The office is listed under U.S. Government agencies in your telephone directory or you may call Social Security at 1-800-772-1213 (TTY 1-800-325-0778). You may send comments on our time estimate above to: SSA, 6401 Security Blvd., Baltimore, MD 21235-6401.

If you download, print and complete a paper form, please mail or take it to your local Social Security office or the office that requested it from you. Important Note: PDFs you open from this page may default to opening within a browser, depending on your browser settings.

Show the Social Security Office address that the employee who prepares or receives the form. Date appeal received for the request for reconsideration is the walk-in date, email date, fax date, date-stamp, or postmark date on the Form SSA-561 …

Being prepared will help you spend less time to complete your appeal online. You will be able to provide supporting documents either online or by mail. Certain documents we can only accept as originals or certified copies; you will need to bring or mail them to your local Social Security Office.

Fill out Request for Reconsideration (PDF). Then, find the Social Security office closest to your home and fax or mail us the completed form.

TN 3 (09-89) GN 03102.250 Form SSA-561-U2 (Request for Reconsideration) To view this form, go to SSA-561-U2.

If you applied for Social Security or Supplemental Security Income (SSI) disability benefits and were denied for medical reasons, you may request an appeal online.

Form 944 Instructions - Employer’s Annual Federal Tax Return Publication 957 - Reporting Back Pay and Special Wage Payments to the Social Security Administration