Mark Required Fields In Legal Massachusetts Social Security Forms For Free

General information for recording statements on the SSA-795. Use an SSA-795 whenever a signed statement is required or desirable, except when we request some other form or questionnaire or we can readily adapt for the statement. Prepare an SSA-795 using the claimant's own words whenever possible.

The claimant, an appointed representative, a representative payee or other third party filing on the claimant's behalf can use the SSA-789 Request for Reconsideration to request reconsideration on an initial disability cessation determination.

The form itself is fairly short, taking up just one page. You'll need to provide your name, date of birth and Social Security number. You'll also need to list the reason you're seeking verification, as well as information (including name and address) about the third party who will receive it.

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).

SSA Form 795, Benefit Continuation Election Statement, is the form you need to fill out to continue receiving benefits while on appeal. Also, if alleged medical improvement is the basis the SSA is using to terminate your benefits, an in person hearing can be obtained even at the reconsideration level.

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.