Get a disability attorney or representative — win rates are significantly higher with representation

The ALJ hearing is your best chance to win — about 50% of cases are approved at this level

You can request a video hearing or telephone hearing instead of in-person

Social Security Disabilityvery hard

Request for ALJ Hearing

HA-501-U5 · SSA / ODAR

Request for hearing by an Administrative Law Judge. Second-level appeal of SSDI/SSI denial. Average wait time is approximately one year.

Form Details

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Where to Submit This Form

🌐

SSA.gov

https://www.ssa.gov/benefits/disability/appeal.html

Request a hearing online.

📬

Mail to your local SSA office

https://secure.ssa.gov/ICON/main.jsp

🏢

In person at local SSA office or ODAR hearing office

https://secure.ssa.gov/ICON/main.jsp

Filing Deadline

Within 60 days of receiving the reconsideration denial (65 days if mailed).

Required Attachments

📎 All new medical evidence since reconsideration denial
📎 Updated treatment records and doctor statements
📎 Brief or written statement explaining why you are disabled
📎 List of witnesses, if any

Processing Time

12-18 months to get a hearing date. The hearing itself typically lasts 30-60 minutes.

What Happens Next

You will be assigned an Administrative Law Judge (ALJ). You'll receive a hearing notice with date, time, and location (or video hearing option). Submit all evidence at least 5 business days before the hearing.

Tips for This Form

✓ Get a disability attorney or representative — win rates are significantly higher with representation
✓ The ALJ hearing is your best chance to win — about 50% of cases are approved at this level
✓ You can request a video hearing or telephone hearing instead of in-person
✓ Submit a detailed pre-hearing brief through your attorney outlining why you meet a listed impairment

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First-level appeal of initial SSDI/SSI denial. Must be filed within 60 days. Complete review by someone other than the original decision-maker.

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Authorization allowing SSA to collect medical and other information from providers, hospitals, and other sources for disability determination.

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SSI Application

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Adult Disability Report

SSA-3368-BK · SSA

The most complex patient-facing disability form. 15 pages requiring complete medical history, all diagnoses, medications, treating providers, hospitalizations, and work history.

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Disclaimer: BeneFill™ provides form-filling assistance and informational guidance only. It is not affiliated with, endorsed by, or sponsored by the SSA / ODAR or any government agency. The information provided is for general informational purposes and does not constitute legal, medical, financial, or tax advice. Always verify form requirements and submission details directly with the issuing agency.