Form SSA-561 | Request for Reconsideration When we make a decision on your claim, we send you a notice explaining our decision. If you don't agree with a decision we made, follow the process to request a change.

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). You may send ...

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

For reconsideration under Title II, Title XVI, and reconsideration for entitlement under Title XVIII, use the SSA-561-U2 in GN 03102.250.

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

Then, find the Social Security office closest to your home and fax or mail us the completed form.

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.

• Reconsideration (Form SSA-561). —A reconsideration is a complete review of your claim by someone who did not take part in the first determination. We will look at all the evidence used in the first determination, plus any new evidence that we obtain or that you submit. —If you are requesting a reconsideration of a determination

DI 12095.005 SSA-561-U2 (Request for Reconsideration) Go to OS 15010.175 to obtain the most current Form.

Supporting documents including forms, legal documents, and written statements Name, address, and phone number of your personal appointed representative if you have one Being prepared will help you spend less time to complete your appeal online.