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Requests a reconsideration of SSA's decision that your disability has ended and that you are no longer entitled to disability benefits.
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Requests a reconsideration of SSA's decision that your disability has ended and that you are no longer entitled to disability benefits.
Plain English
Use this form to appeal if SSA says your disability ended and you disagree. You have 60 days from SSA's notice to file.
Submission Date
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Personal Info
2 items
Your full legal name.
Your SSN.
Appeal
3 items
The date on SSA's cessation notice.
Explain why you believe your disability has not ended.
Do you want to continue receiving benefits during the appeal?
Signature
1 items
Your signature.
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