Complaint Form for Allegations of Program Discrimination by the Social Security Administration (Form SSA-437-BK) - Dec 2021

This form is used by individuals who want to request a hearing by an Administrative Law Judge for a Social Security or Supplemental Security Income claim that has been denied or partially denied.

Used 21 times

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Complaint Form for Allegations of Program Discrimination by the Social Security Administration (Form SSA-437-BK) - Dec 2021
Large thumbnail of Complaint Form for Allegations of Program Discrimination by the Social Security Administration (Form SSA-437-BK) - Dec 2021
Large thumbnail of Complaint Form for Allegations of Program Discrimination by the Social Security Administration (Form SSA-437-BK) - Dec 2021
Large thumbnail of Complaint Form for Allegations of Program Discrimination by the Social Security Administration (Form SSA-437-BK) - Dec 2021
Large thumbnail of Complaint Form for Allegations of Program Discrimination by the Social Security Administration (Form SSA-437-BK) - Dec 2021
Large thumbnail of Complaint Form for Allegations of Program Discrimination by the Social Security Administration (Form SSA-437-BK) - Dec 2021
Large thumbnail of Complaint Form for Allegations of Program Discrimination by the Social Security Administration (Form SSA-437-BK) - Dec 2021
Large thumbnail of Complaint Form for Allegations of Program Discrimination by the Social Security Administration (Form SSA-437-BK) - Dec 2021
Large thumbnail of Complaint Form for Allegations of Program Discrimination by the Social Security Administration (Form SSA-437-BK) - Dec 2021
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Thumbnail of Complaint Form for Allegations of Program Discrimination by the Social Security Administration (Form SSA-437-BK) - Dec 2021 - page 1
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Thumbnail of Complaint Form for Allegations of Program Discrimination by the Social Security Administration (Form SSA-437-BK) - Dec 2021 - page 3
Thumbnail of Complaint Form for Allegations of Program Discrimination by the Social Security Administration (Form SSA-437-BK) - Dec 2021 - page 4
Thumbnail of Complaint Form for Allegations of Program Discrimination by the Social Security Administration (Form SSA-437-BK) - Dec 2021 - page 5
Thumbnail of Complaint Form for Allegations of Program Discrimination by the Social Security Administration (Form SSA-437-BK) - Dec 2021 - page 6
Thumbnail of Complaint Form for Allegations of Program Discrimination by the Social Security Administration (Form SSA-437-BK) - Dec 2021 - page 7

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Used 21 times