Many people who receive a denial from Social Security choose to ask for a second look. This form, called a Request for Reconsideration, is the first step in that process.
We'll walk you through the form field by field. We'll explain what each box means in plain English, show you examples, and point out the parts that trip most people up.
Have these nearby:
Most people finish this form in about 15-20 minutes. Disability cases sometimes take longer because there's more to explain.
Social Security gives you 60 days from the date on your denial letter to file a Request for Reconsideration. Let's check how many days you have left.
Write your full legal name — the same name that's on your Social Security card.
Your name tells SSA which record to look for. If you write "John" but your record says "Jonathan," it might slow things down.
Write your 9-digit Social Security number. It's on your Social Security card and at the top of your denial letter.
Check your denial letter—it's printed right at the top. You can also call Social Security at 1-800-772-1213 to confirm.
Only fill this in if your claim number is DIFFERENT from your Social Security number. Most people can leave this blank.
This mostly happens if you're filing for someone else (like a parent or spouse) or if you have multiple claims.
Check the box that matches what you're appealing. Look at your denial letter—it will tell you the type in plain English.
This is the most important part of the entire form. This is where you tell Social Security—in your own words—why they got it wrong.
Think of it like this:
Check "Yes" or "No" — this just tells Social Security whether you're including documents with your form.
This section is ONLY for people appealing SSI or SVB decisions. If that's not you, skip ahead.
A different person at Social Security reviews your file. They look at the same records the first person saw, plus any new evidence you provide. Most people choose this option. It's free, simple, and works well if you have new medical evidence.
You get to meet with an SSA representative (in person or by phone) and explain your situation directly. They listen to you, ask questions, and review evidence on the spot. Many people find this helpful because they get to tell their story in person.
This is more formal. You meet with an SSA hearing officer. You can bring evidence and witnesses. There's a record of everything that's said. This is closer to a court hearing. Most people use this when their payments are being stopped or reduced and they want a stronger appeal process.
Sign and date the form in the signature box.
Write your mailing address, city, state, zip code, and phone number. Social Security needs this to send you the decision on your reconsideration.
If someone is helping you with this appeal—like a lawyer, legal aid organization, or authorized representative—their information goes in this section.
Family members helping you out (like an adult child or spouse) are not representatives unless they have a legal power of attorney.
If you can't afford a lawyer, many legal aid organizations help for free. You can search for local legal aid at lawhelp.org or call 211 to find services near you.
You've walked through the entire form. You know what each field means, what SSA is looking for, and how to explain your case in a way they'll understand.
Find your local Social Security office at ssa.gov/locator. You can:
A different person at Social Security will review your entire case—the original decision, your new reasons, and any new evidence you submitted. Most reconsiderations take 30-90 days, though disability cases can take longer.
Thousands of people file reconsiderations every month. Many of them succeed. You're not alone in this, and you're doing the right thing by asking for a second look.
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