Form SSA-789 (06-2024) UF Discontinue Prior Editions Page 1 of 2 Social Security Administration OMB No. 0960-0349 ... I DO NOT AGREE WITH THE DETERMINATION TO STOP DISABILITY BENEFITS AND I REQUEST RECONSIDERATION. My reasons are (reasons should relate to the basis for stopping disability benefits and be as specific as possible):

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).

It is essential to complete the SSA-789 correctly because the disability hearing unit (DHU) will rely on the information on this form in order to schedule hearings. Complete only one SSA-789 on all claims for entitlement where the individual has received a cessation notice (s).

Dec 5, 2024 · file, plus any evidence that I submit or that may be obtained by the Social Security Administration. I have been advised that if I change my mind, I can request a disability hearing prior to the writing of a decision in my case. In this case, I can make the request with any Social Security office. fForm SSA-789 (05-2024) UF Page 2 of 2

A completed Modernized Supplemental Security Income Claims System (MSSICS) appeals output can act in place of the SSA-789 in Title XVI and concurrent cases if the individual also provides a clear written indication of dissatisfaction with the initial CDR determination.

The top of form SSA-789 is dedicated to basic personal information such as your name and Social Security number. If you are filing for SSI, you will also be required to include your spouse’s information. The next portion of form SSA-789 allows you to explain why you disagree with the determination to stop your SSI benefits.

Your first step is to fill out SSA Form 789. It’s always a good idea to seek legal counsel from a Social Security lawyer when appealing SSA decisions. If you choose to consult a lawyer, he can help you with Form SSA-789. First, review the privacy act notice on the back of the form.

The filing date is the date SSA received the appeal, as indicated on the top of the SSA-789 Request for Reconsideration-Disability Cessation Right to Appear or on the Modernized Supplemental Security Income Claims System (MSSICS) generated printout.

Jan 18, 2023 · The first step in appealing a cessation of benefits is to file a Form SSA-789-U4 Request for Reconsideration - Disability Cessation Right to Appear. This is a short, simple form that asks for your basic information (name, address, and Social Security number) and allows you to state why you disagree with the CDR decision to stop your benefits.

I have been advised that if I change my mind, I can request a disability hearing prior to the writing of a decision in my case. In this case, I can make the request with any Social Security office. …