DO NOT miss the 60-day deadline — you'll have to start over

Submit ALL new medical evidence — this is your chance to add what was missing

Consider getting a disability attorney (they're paid from back-pay, not upfront)

Social Security Disabilityvery hard

Request for Reconsideration

SSA-561-U2 · SSA

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

Form Details

Total fields: 30
Auto-fillable: 22 (73%)
Time without BeneFill: 60 minutes
Time with BeneFill: 15 minutes
Time saved: 45 minutes
Filled by: patient
Frequency: per incident

Fill this form with BeneFill

Auto-fill 73% of fields from your profile. Save 45 minutes. Download a real PDF.

22 of 30 fields73% auto-filled

Start Filling Upload Your Copy Instead Download blank official form

Where to Submit This Form

🌐

SSA.gov

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

📬

Mail to your local SSA office

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

🏢

In person at local SSA office

Filing Deadline

Within 60 days of receiving the denial notice. (You have 65 days if the notice was mailed.)

Required Attachments

📎 New medical evidence not previously submitted
📎 Updated treatment records
📎 Statements from treating physicians

Processing Time

3-5 months for reconsideration decision.

What Happens Next

A different examiner will review your entire file plus any new evidence. You may be scheduled for another consultative examination.

Tips for This Form

✓ DO NOT miss the 60-day deadline — you'll have to start over
✓ Submit ALL new medical evidence — this is your chance to add what was missing
✓ Consider getting a disability attorney (they're paid from back-pay, not upfront)

You Might Also Need

Authorization to Disclose Information

SSA-827 · SSA

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

Disability Report -- Appeal

SSA-3441-BK · SSA

Documents changes in medical condition since the last disability report. Required when appealing a denied SSDI/SSI claim with updated medical evidence.

Appointment of Representative

SSA-1696 · SSA

Designates an attorney or non-attorney representative to act on the claimant's behalf in SSA disability proceedings.

SSDI Application

SSA-16-BK · SSA

Application for Social Security Disability Insurance Benefits. Requires detailed work history, earnings record, and medical condition documentation.

SSI Application

SSA-8000-BK · SSA

Application for Supplemental Security Income for aged, blind, and disabled individuals with limited income and resources. Must be completed via SSA interview.

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.

Not sure which forms you need?

Tell our assistant about your situation and we'll find the right forms for you.

Chat with Form Assistant

Disclaimer: BeneFill™ provides form-filling assistance and informational guidance only. It is not affiliated with, endorsed by, or sponsored by the SSA 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.