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Templates
Government forms
Request for Change in Time/Place of Disability Hearing - Oct 2017

Government forms

Request for Change in Time/Place of Disability Hearing - Oct 2017

This form is used to report your work activity if you receive Social Security disability benefits.

Originally published by: ssa.gov

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Frequently asked questions

The Work Activity Report form is used by individuals who receive Social Security disability benefits and have work activity to report. The form can be submitted to the local Social Security office or by mail to the address provided on the form.
Individuals who receive Social Security disability benefits and have work activity to report.
The completed form should be submitted to the local Social Security office or by mail to the address provided on the form.

Used 25 times