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Contact an EEO Counselor at (866) 744-0374 or through SSA's Office of Civil Rights and Equal Opportunity intranet website. You can ask us to look at an unfair treatment complaint even while we're deciding your claim for benefits.Reconsideration (Form SSA-561). If this complaint seeks review of a decision regarding Disability Insurance Benefits under Title II of the Social Security Act, jurisdiction is proper under 42. ☐ If you were granted disability benefits but these were LATER TERMINATED. OR REDUCED, check this box, complete this section and proceed to section V. Federal Court decisions say that Social Security must have a complete case file before they can deny a person's disability claim. You may complete SSA Form 437-BK, or you may file your own written complaint. If Social Security denied your application for disability benefits, you may request an appeal. Social Security has four appeal levels.