Request for Reconsideration
Form . SSA-561-U2 (03-2015) uf (03-2015) Prior Edition May Be Used Until Exhausted. SOCIAL SECURITY ADMINISTRATION. REQUEST FOR RECONSIDERATION. Form Approved OMB No. 0960-0622. Claims Folder. TOE 710 NAME OF CLAIMANT. CLAIMANT SSN I do not agree with the Social Security Administration's (SSA) determination and request reconsideration. My ... ................
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