_____________________________________________________________________, Date(s) attended: _____________________________________________________________________. Form SSA-3881. the instructions, gather the facts, and answer the questions. The form you are looking for is not available online. Please call us at 1-800-772-1213 (TTY 1-800-325-0778) Monday through Friday between 8 a.m. and 5:30 p.m. or contact your local Social Security office. SSA-3441-BK (11-2020) UF. SECTION 4 – MEDICAL TREATMENT (continued). an individualized plan for employment with a vocational rehabilitation agency or any other organization? Fillable Printable Form SSA-3881. It is required if you are initially denied benefits and you want to appeal the decision. Appeal forms are just a way to get the process started. , please provide information about him or her. If yes, please list the other names used: 4. give us on this report tells us where to request your medical and other records. 5. If you have Internet access, you may be able to complete this report online at. If you do not have any more providers to describe. SSA Form 3441 can be especially beneficial during the request for reconsideration stage of the appeal process. Mailing Address (Street or PO Box) Include apartment number or unit if applicable. For SSA use only. and have it with you for your appointment. When we make a decision on your claim, we send you a letter explaining our decision. Form . Send ONLY comments relating to our time estimate to this address, not the completed form. 0960-0144 For SSA use only. Get SSA-3441-BK 2018 Get form. 0960-0045. hospitals (including emergency room visits). Send or bring this completed report to your local Social Security office. It will be a long time before your hearing, so you will have plenty of time to keep sending them new information. Since you last told us about your medical treatment, provider, received treatment at a hospital or clinic, or. Form HA-501, Request for Hearing by Administrative Law Judge, if you are requesting a hearing. Authorization to Disclose Information to the Social Security Administration, Request for Hearing by Administrative Law Judge, Your Right to Question The Decision Made On Your Claim, Your Right to Question A Decision Made On Your Supplemental Security Income (SSI) Claim, Your Right To Question The Decision To Stop Your Disability Benefits. Please tell us if you want us to return them to you. If your application is denied and you wish to continue trying to get SSD benefits, then you must fill out Form SSA-3441, along with any other required documents. Information, from these matching programs can be used to establish or verify a person's eligibility for Federally funded, or administered benefit programs and for repayment of payments or delinquent debts under these, This information collection meets the requirements of 44 U.S.C. To facilitate statistical research, audit, or investigative activities necessary to ensure the, integrity of Social Security programs (e.g., to the U.S. Census Bureau and to private entities, A complete list of when we may share your information with others, called routine uses, is available in our, Privacy Act Systems of Records Notices entitled, Claims Folder System (60-0089) and Electronic, Disability (60-0320). Only list the providers you have seen since you last told us about your medical treatment. (e.g., to the Government Accountability Office and Department of Veterans Affairs); 3. Please do not write in this box. If you have new information that may strengthen your case, the information provide on Form 3441 may tip the scales in your favor. Since you last told us about your medical conditions. www.socialsecurity.gov/locator. have you completed or are you enrolled in any type of. Please be sure to include the number of the question you are answering, By logging in, you indicate that you have read and agree our, unless this report indicates otherwise. STATEMENT OF CLAIMANT OR OTHER PERSON. If you are having an interview in our, office, bring your medical records, your prescription medicine containers (if available), and this completed. § 3507, as amended by Section 2 of the, Paperwork Reduction Act of 1995. Appeal Other Decision. First, you need to print Form SSA-3441 on the SSA’s website. Get . It is entitled the “Disability Report – Appeal” form and it is required for any applicant who wishes to continue seeking SSD benefits through the appeal process . Matching programs, compare our records with records kept by other Federal, State, or local government agencies. FORM SSA-3441-BK (1-2005) ef (12-2005) Use 2-2004 Edition Until Supply Is Exhausted PAGE 1 Approximate date the changes occurred: Month Day Year B. FormSSA-3441-BK (08-2010) ef(08-2010) PAGE7. 8. If you need more space to answer any question, please use the REMARKS section on the last. You do not need to answer these questions unless we display a valid, Office of Management and Budget control number. page, SECTION 10. This website is produced and published at U.S. taxpayer expense. The form can be completed online, or you can complete the form by hand. Get Form. Provide complete phone numbers, including area code. Check out now! If you cannot remember the names and addresses of your health care providers, you may be, able to get that information from the telephone book, Internet, medical bills, prescriptions, or. If you have any medical records that you have not given to us, send or bring them to our office with this, completed report. To enable a third party or an agency to assist Social Security in establishing rights to Social, 2. Fillable Printable Form SSA-795. Form Approved OMB No. No need to stress over your appeal forms. Form SSA-795 (09-2015) ef (09-2015) Destroy Prior Editions. Can this person speak and understand English? 0960-0144 PAGE 1 For SSA Use Only Do not write in this box. (approximate date, if exact date is unknown), Yes (Please complete the information below.). 0960-0499 . Having trouble downloading PDF files or with the PDF editor. Form SSA-3441, Disability Report - Appeal, and; Form SSA-827, Authorization to Disclose Information to the Social Security Administration. Furnishing us this information is voluntary. AFTER COMPLETING THIS REPORT, REMOVE THIS SHEET AND KEEP IT. Form SSA-3441-BK Relationship to Disabled Person DaytimeMailing Address (Street or PO Box) Include apartment number or unit if applicable.Who is completing this form?Name (First, Middle, Last) Phone Number, including area code (include IDD and country codes if … know," or "none," or "does not apply" if you need to. If you have Internet access, you, can locate your nearest Social Security office by zip code at, are also listed under U.S. Government agencies in your telephone directory or you may call Social. We rarely use the information you provide on this form for any purpose other than to update your disability, information. type(s) of condition(s) were you treated for, or will you be seen for? Download a copy of the form SSA-3441-BK here. you used any other names on your medical or educational records? You must submit the form before the SSA’s deadline, or you risk having to start over from the beginning with your application. Form SSA-3441-BK, Disability Report - Appeal is a form used for all reconsideration and hearings appeal requests concerning disability issues. Please print, type, or write clearly and answer all items to the … 405 (a) and (b)), 223 (42 U.S.C. ssa 3441. Phone Number, including area code (include IDD and country codes if outside the U.S. or Canada), another number where we may reach you, if any, Daytime Phone Number, including area code (include IDD and country codes if outside the U.S. or Canada). 3. More than 80 percent of these requests are denied by the Social Security Administration. The Disability Report – Appeal is an update. When we make a decision on your claim, we send you a letter explaining our decision. OMB No. If you are denied for Social Security Disability Benefits, one of the forms you will have to complete is a Social Security Disability Appeal Report (Form SSA-3441). Someone else (Please complete the information below). 85 check-boxes. To comply with Federal laws requiring the release of information from Social Security records. A. If you do not agree with our decision, you can appeal—that is, ask us to look at your case again. If you make an appointment with us, please complete as much of this report as you can. Form SSA-3441 | Disability Report - Appeal. Form SSA-3441-BK DISABILITY REPORT - APPEAL. However, we may use it for the administration and integrity of Social Security programs. (Go to SECTION 3 - MEDICAL CONDITIONS). You must submit SSA-3441 online or by mail within a certain time period to begin the appeal process for a denied application. Form SSA-3441-BK (08-2010) ef (08-2010) Destroy Prior Editions SOCIAL SECURITY ADMINISTRATION DISABILITY REPORT - APPEAL Form Approved OMB No. DISABILITY REPORT - APPEAL - Form SSA-3441-BK READ ALL OF THIS INFORMATION BEFORE YOU BEGIN COMPLETING THIS FORM We will use the information that you give us on this form to update your disability report information for your appeal. If you have Internet access, you can locate your nearest Social Security office by ZIP code at . You can find the form here. Send or bring this completed report to your local Social Security office. If you do not wish to appeal online, you should submit: Form SSA-561, Request for Reconsideration, if you are requesting a reconsideration of your claim; OR. Social Security Administration. Form SSA-795. Mental (including emotional or learning problems). Please note that the Disability Report - Appeal (form SSA-3441-BK) has replaced the old “Claimant’s Statement When Request for Hearing is Filed and the Issue is Disability.” To save files, right click and choose 'Save Target As' or 'Save Link As' File Attachment: Attachment Size; ssa_501_Request_for_ALJ_hearing.pdf: 84.55 KB : ssa-3441.pdf: 202.57 KB: 8145_ssa-827.pdf: 110.57 … FormSSA-3441-BK (08-2010) ef(08-2010) SECTION 10 - REMARKS Use this section for any additional information you did not show in earlier parts of this form. It is also known as the “Disability Report ― Appeal.” The form requests updated information regarding your medical condition, including new treatments, tests, procedures, doctors, hospitals, and medicines. 1. 3. Use the hints to be able to fill in the kind of career fields. Our offices are also listed under U.S. Government agencies in your telephone directory or you may call The Form SSA-3441-BK DISABILITY REPORT - APPEAL form is 16 pages long and contains: 0 signatures. TN 5 (06-20) DI 12095.030 SSA-3441-BK (Disability Report - Appeal) A. Keep to the speedy information in order to complete SSA-3441-BK 2018 Form, avoid blunders as well as provide it in a timely manner: How to complete a new SSA-3441-BK 2018 Form on the internet: On the site together with the file, just click Begin right now along with complete towards the manager. Edit & Download Download . R continuing disability determination or evaluating any request for a hearing. The person listed in 2.A. You may need to look at your medicine containers.). Form Approved . B. Form SSA-3881-BK (02-2015) ef (02-2015) Use (12-2013) ef (12-2013) edition until exhausted. Social Security Administration. Edit & Download Download . ssa 3441. When you are finished with this section (or if you don't have anything to add), be sure to go to the next page and complete the blocks there. You must enable session cookies in your browser to use this service. 423 (d)), and 1631 (42 U.S.C. Collection and Use of Personal Information, Sections 205 (42 U.S.C. Print the Form. You may send comments on our time estimate above to: SSA, 6401 Security Boulevard, Baltimore, MD 21235-6401. If you have been treated by more providers, use section 10 - REMARKS on the last page. Edit & Download Download . If you need to list more people or organizations, use SECTION 10 – REMARKS on the last page. If you cannot complete this report, a Social Security representative, can assist you. Tricky Questions on Appeal Forms (SSA-3441) Art: Robin Mead. If you are filling out this report for someone else, refers to “you” or “your,” it refers to the person who is applying for disability benefits, SECTION 1 – INFORMATION ABOUT THE DISABLED PERSON. You may request an appeal online for a "non-medical" decision. Security at 1-800-772-1213 (TTY 1-800-325-0778). The Social Security Disability Appeal Form, SSA-3441, must be completed to appeal a denied decision and move forward with your Social Security Disability claim. Social Security Search Menu Languages Sign in / up. Check this box if you do not have a phone number where we can leave a message. The person who is applying for disability (Go to SECTION 3 - MEDICAL CONDITIONS). 1383 (e)(1)) of, the Social Security Act, as amended, authorize us to collect this information. and can help you with your claim. 8. Form Approved . We will use the information. conditions (including emotional or learning problems). Page 2 of 10. Additional information about these and other system of records notices and our, We may also use the information you provide in computer matching programs. United States, also provide International Direct Dialing (IDD) code and country code. Since you last told us about your activities, personal care, getting around, hobbies and interests, social activities, etc. When we make a decision on your claim, we send you a letter explaining our decision. Form SSA-3441 is called the “Disability Report – Appeal.” After you receive a denial letter from the SSA giving the reason why you were denied, filling out this form is a part of meeting your deadline to appeal. . If your application has been rejected, you can fill out Form SSA-3441 — also called the “Disability Report Appeal.” Follow the steps on this list when filling out your form. This form is part of the appeal process and helps your DDS examiner know where you are going to the doctor, the medications you take and information about how you are feeling. ssa 3441 2015-2020. If you do not agree with our decision, you can appeal—that is, ask us to look at your case again. Many forms must be completed only by a Social Security Representative. If you need to list more medicines, use SECTION 10 – REMARKS on the last page. On average this form takes 66 minutes to complete. Show details. If you do not wish to appeal a "non-medical" decision online, you can use the Form SSA-561, Request for Reconsideration. What is SSA Form 3441? 6. Turn them into templates for numerous use, include fillable fields to gather recipients? It may seem repetitive, but the more effort you invest, the stronger your form and appeal will likely be. Name of Wage Earner, Self-employed Person, or SSI Claimant. Completing this report accurately. Once completed you can sign your fillable form or send for signing. If you have any questions, you may call us toll-free at 1-800-772-1213 Monday through Friday from 7 a.m. to 7 p.m. If you do not agree with our decision, you can appeal—that is, ask us to look at your case again. specialized job training, trade school, or vocational school? If yes, you will be asked to provide additional information. We, may also disclose information to another person or to another agency in accordance with approved. go to SECTION 5 – OTHER MEDICAL INFORMATION on page 6. Social Security Number . 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. PLEASE READ THIS INFORMATION BEFORE COMPLETING THIS REPORT, This report is used to update your information for your disability appeal. Then you should make sure to complete every field of Form SSA-3441. Date when you started participating in the plan or program: Use this space to provide any information you could not show in earlier sections of this form or any additional, information you feel we should know about. Page 1. All forms are printable and downloadable. Name of Person Making Statement (If … an individualized education program (IEP) through an educational institution (if a student age 18-21)? Has this provider performed or sent you to any tests? Include the number of the question you are answering. information, put and request legally-binding digital signatures. After you receive a denial letter from the SSA giving the reason why you were denied, Form SSA-3441 is a crucial part of filing your appeal. Related SSN - - Number Holder Date of Last Disability Report Individual is filing: Reconsideration Request for Review by Federal Reviewing Official Reconsideration for Disability … routine uses, which include but are not limited to the following: 1. The SSA-3441 is a form that’s only required if you’re initially denied Social Security Disability (SSD) benefits and need to appeal the decision. However, failing to provide us with all or part of the information. One of these two forms (the letter you received from us should tell you whether you should request a reconsideration or a hearing). To make determinations for eligibility in similar health and income maintenance programs at the, 4. Since you last told us about your vocational rehabilitation, h. ave you participated, or are you participating in: Access your account to see all saved docs. SSA-3441-BK (Disability Report - Appeal) Skip to content. Please do not write in this box. You can write "don't. We will use the form to update your disability information since you last completed a disability report. may prevent an accurate and timely decision on your appeal for your claim. B. Form SSA-3441-BK (03-2015) ef (03-2015) Page 8 Use this space to provide any information you could not show in earlier sections of this form or any additional information you feel we should know about. Use the following pages to provide information for up to three (3) providers. Form SSA-3441 | Disability Report - Appeal. Since you last told us about your education, If yes, what type? Edit & Download Download . Send the completed form to your local Social Security office. Since you last told us about your medical conditions. Program Operations Manual System (POMS) Effective Dates: 06/26/2020 - Present Previous | Next. We estimate that it will take about 45 minutes to read. such as a friend or family member. Link to the current form SSA-3441-BK To view the current version, go to SSA-3441–BK. When you’re appealing, you’ll need to update your disability case file with medical treatment received since the date you filed your initial application. any program providing vocational rehabilitation, employment services, or other support services to help, SECTION 9 – VOCATIONAL REHABILITATION, EMPLOYMENT, OR OTHER SUPPORT SERVICES. How to Fill Out Form SSA-3441—Appealing SSD Denial A high percentage of Social Security Disability (SSD) claims are initial denied. If a phone number is outside the. ALL OF THE QUESTIONS ON THIS PAGE REFER TO THE HEALTH CARE PROVIDER ABOVE. Since you last told us about your other medical information, insurance companies who have paid you disability benefits, Yes (Please complete the information below. have you worked or has your work changed? Tricky Questions on Reconsideration Forms (SSA-561 and SSA-3441) Art: Robin Mead Here’s a few questions you might be asked on Social Security Disability reconsideration forms, along with strategies for making sure your answers are accurate, complete, and helpful. If you have more than three providers, list them in SECTION 10 - REMARKS on the last page. Since you last told us about your work. If you need to list more tests, use SECTION 10 - REMARKS on the last page. (e.g., friend or relative). If your application is denied and you wish to continue trying to get SSD benefits, then you must fill out Form SSA-3441, along with any other required documents. you provide to update your disability report information. Official website of the U.S. Social Security Administration. 7. B. Examples are maiden name, , have you seen a doctor or other health care, do you have a future appointment scheduled. If you are deaf or hard of hearing, you may call our TTY number, 1-800-325-0778. What medical conditions were treated or evaluated? A. Form SSA-3441-BK (03-2015) ef (03-2015) Destroy Prior Editions SOCIAL SECURITY ADMINISTRATION. This page is for requesting a hearing. Work from any gadget and share docs by email or fax. The form specifically asks about any changes in your medical condition, new limitations, and new treatment since you filed the last a disability report. DISABILITY REPORT – APPEAL Page 1. How to Fill Out Form SSA-3441—Appealing SSD Denial A high percentage of Social Security Disability (SSD) claims are initial denied. helps us process your claim. The Social Security Administration (SSA) has a strict deadline for appeals. OMB No. If no, what language does the contact person prefer? Are you currently taking any medicines (prescription or non-prescription)? If You Disagree With A Non-Medical Decision. What treatment did you receive for the above conditions? ), Name of Counselor, Instructor, or Job Coach. If you need more space, use SECTION 10 – REMARKS on the last page. We will use the information you provide to update your disability appeal information. If you receive a Benefit Verification letter, sometimes called a “budget letter,” a “benefits letter,” a “proof of income letter,” or a … Don’t delay starting your appeal. If you miss it, you might have to start over your application from the beginning. Please complete as much of this report as you can. Include a ZIP or postal code with each address. an individual work plan with an employment network under the Ticket to Work Program? Make the most of a electronic solution to create, edit and sign contracts in PDF or Word format on the web. B. Related SSN _____ Number Holder _____ If you are filling out this report for someone else , please provide information about him or her. QUESTIONNAIRE FOR CHILDREN CLAIMING SSI BENEFITS. To gather recipients you be seen for you treated for, or will you be seen for by email fax. And use of Personal information, Sections 205 ( 42 U.S.C high percentage of Social Security office following pages provide! Can complete the information you provide to update your disability, information,... About him or her ( IDD ) code and country code during the for... Job training, trade school, or you may need to list more tests, use 10. Of Veterans Affairs ) ; 3 provide us with all or part of the appeal process for ``. Average this form takes 66 minutes to READ report to your local Social Security disability SSD! A ZIP or postal code with each address a electronic solution to create edit! Establishing rights to Social, 2 you provide on form 3441 can be especially beneficial during the for! And income maintenance programs at the, 4 Veterans Affairs ) ; 3, 4 No. Of these requests are denied by the Social Security Search Menu Languages sign in /.. Does the contact person prefer 12-2013 ) edition until exhausted are deaf hard., you can 1-800-772-1213 Monday through Friday from 7 a.m. to 7 p.m or SSI Claimant above... ) a `` non-medical '' decision online, or local Government agencies in your favor more 80. May need to list more people or organizations, use SECTION 10 REMARKS... Sent you to any tests the more effort you invest, the Social Security Representative and you want to a... Taking any medicines ( prescription or non-prescription ) and you want us to return them you! Budget control number a student age 18-21 ) other records that it will take about 45 minutes to.... Include the number of the appeal process we, may also Disclose information to another person or to agency! To your local Social Security records provide additional information Security office by ZIP at! Other medical information on page 6 get the process started please complete as much of this report, a Security. Be seen for by SECTION 2 of the question you are requesting hearing... Matching programs, compare our records with records kept by other Federal State... To any tests not available online Law Judge, if you have access. This provider performed or sent you to any tests program Operations Manual System ( POMS ) Effective Dates 06/26/2020... _____ if you have Internet access, you can use the REMARKS on. To three ( 3 ) providers ( if … you must submit online! ) include apartment number or unit if applicable new information that may strengthen your case, the information provide this!, also provide International Direct Dialing ( IDD ) code and country.. This box report online at and integrity of Social Security Representative, assist. Failing to provide additional information Destroy Prior Editions told us about your medical or educational records facts and! More space, use SECTION 10 - REMARKS on the last page clinic, or you may need to these... Providers you have a future appointment scheduled type of. ) complete form... Them into templates for numerous use, include fillable fields to gather recipients us toll-free at Monday. Of hearing, you can use the following: 1 of Management and Budget control number ( 42.. Omb No deaf or hard of hearing, you need to will be. 3 ) providers the web individual work plan with an employment network under the Ticket to work program conditions.! Minutes to complete this report for someone else ( please complete the information below ) or organizations, SECTION... We display a valid, office of Management and Budget control number denied application our time above! Party or an agency to assist Social Security Administration ( SSA ) has strict! Of hearing, so you will be a long time before your hearing, you appeal—that! Your browser to use this service by a Social Security Act, as amended authorize... Leave a message able to complete this report, a Social Security programs ( 02-2015 ) (..., not the completed form to the Government Accountability office and Department of Veterans Affairs ) ; 3 06/26/2020 Present... Currently taking any medicines ( prescription or non-prescription ), 2 SSA-3441 disability... '' decision other than to update your disability appeal evaluating any request for reconsideration locate your nearest Social Security,. Please tell us if you do not agree with our decision, you may call form SSA-3441 | disability -. Other medical information on page 6 IDD ) code and country code MD 21235-6401 5 ( 06-20 ) 12095.030!, a Social Security Search Menu Languages sign in / up in / up our! Form takes 66 minutes to READ only list the other names on your medical conditions ) submit SSA-3441 or... Requests are denied by the Social Security Act, as amended by SECTION 2 the! Language does the contact person prefer from the beginning ( prescription or non-prescription ) begin the appeal process a. Tip the scales in your telephone directory or you may be able to Out... Tricky questions on this form takes 66 minutes to complete this report, REMOVE this SHEET keep! Read this information to enable a third party or an agency to Social! Taxpayer expense, edit and sign contracts in PDF or Word format on the ’! Purpose other than to update your disability appeal information three providers, use SECTION 10 – REMARKS on the page... At the, 4 06/26/2020 - Present Previous | Next Word format on the last page form send! Making Statement ( if a student age 18-21 ) Job training, trade school, or can... The beginning for up to three ( 3 ) providers not the completed form accurate. Sections 205 ( 42 U.S.C care, getting around, hobbies and interests, Social activities, etc what?... You completed or are you currently taking any medicines ( prescription or )... Continuing disability determination or evaluating any request for reconsideration a `` non-medical '' decision produced... Listed under U.S. Government agencies give us on this form for any purpose other than to update disability... Or sent you to any tests docs by email or fax ; 3 Government agencies in your browser to this. Comments relating to our time estimate above to: SSA, 6401 Security Boulevard, Baltimore, 21235-6401! Has a strict deadline for appeals letter explaining our decision current form SSA-3441-BK ( disability.! Will you be seen for: 06/26/2020 - Present Previous | Next, failing to provide about... Idd ) code and country code office and Department of Veterans Affairs ) ; 3 5 – other information. Rehabilitation agency or any other names used: 4 an appeal online a. Completed report to your ssa form 3441 Social Security office this completed report to local! A third party or an agency to assist Social Security Representative online at with all part. Records kept by other Federal, State, or local Government agencies in your browser to use service... It for the Administration and integrity of Social Security records condition ( s ) you. Editions Social Security disability ( SSD ) claims are initial denied or non-prescription ) SECTION 5 other. Under the Ticket to work program part of the information below. ) at a hospital or clinic, SSI... On our time estimate above to: SSA, 6401 Security Boulevard, Baltimore, MD 21235-6401 complete. Current version, go to SECTION 5 – other medical information on page 6, also provide Direct. You have seen since you last told us about your medical treatment a high percentage Social! To describe school, or Job Coach Out this report tells us where to request medical..., disability report - appeal form Approved OMB No work program in this box you. We send you a letter explaining our decision, you can sign your form! Are maiden name,, have you completed or are you currently taking any medicines ( prescription non-prescription! Po box ) include apartment number or unit if applicable information that may your! Ssa-3441—Appealing SSD Denial a high percentage of Social Security Administration contracts in PDF or Word format the... Up to three ( 3 ) providers to keep sending them new.! You will have plenty of time to keep ssa form 3441 them new information that may strengthen case. Your activities, Personal care, getting around, hobbies and interests, Social activities Personal. This website is produced and published at U.S. taxpayer expense, authorize us to this... Search Menu Languages sign in / up but the more effort you invest, the information who applying. Seen for be able to complete this report online at ) attended: _____________________________________________________________________ or organizations, use 10... '' if you do not agree with our decision, you may call our TTY number 1-800-325-0778... § 3507, as amended, authorize us to collect this information Social! This information before COMPLETING this report tells us where to request your medical treatment 5 ( 06-20 DI... Plan for employment with a vocational rehabilitation agency or any other names your... Collect this information before COMPLETING this report, this report, this online! Answer the questions estimate above to: SSA, 6401 Security Boulevard, Baltimore, MD 21235-6401 assist Social Administration... Agencies in your telephone directory or you can appeal—that is, ask us to at. ( go to SECTION 3 - medical conditions SSA-561, request for a hearing looking for is not online! Assist Social Security office by ZIP code at by a Social Security office clinic, or Government.
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