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<h2 class="fw4 ma0">Form SSA-3441 | Disability Report - Appeal</h2>
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<p>When we make a decision on your claim, we send you a letter explaining our decision. If you do not agree with our decision, you can appeal—that is, ask us to look at your case again. </p>
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<p>If you applied for Social Security or Supplemental Security Income (SSI) disability benefits and were denied for medical reasons, you may request an appeal online.</p>
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<p><a class="btn" href="/disability/appeal/">Appeal Our Recent Medical Decision</a></p>
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<p>If you do not wish to appeal online, you should submit:</p>
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<ul>
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<li>Form SSA-3441, <a href="ssa-3441.pdf">Disability Report - Appeal</a>;</li>
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<li>Form SSA-827, <a href="ssa-827.pdf">Authorization to Disclose Information to the Social Security Administration</a>; <strong>AND</strong></li>
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<li>One of these two forms (the letter you received from us should tell you whether you should request a reconsideration or a hearing):
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<div class="pa2">
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<p>Form SSA-561, <a href="ssa-561.pdf">Request for Reconsideration</a>, if you are requesting a reconsideration of your claim; <strong>OR</strong></p>
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<p>Form HA-501, <a href="ha-501.pdf">Request for Hearing by Administrative Law Judge</a>, if you are requesting a hearing.</p>
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</li>
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<p><strong>Where to send this form</strong></p>
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<p>Send the completed form to your <a href="/locator/">local Social Security office</a>. If you have any questions, you may call us toll-free at <strong>1-800-772-1213</strong> Monday through Friday from 7 a.m. to 7 p.m. If you are deaf or hard of hearing, you may call our TTY number, <strong>1-800-325-0778</strong>. </p>
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<h3 class="by">Related Information</h3>
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<li><a href="/forms/">More forms</a></li>
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<h3 class="by">Publications</h3>
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<ul>
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<li><a href="/pubs/EN-05-10058.pdf">Your Right to Question The Decision Made On Your Claim</a></li>
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<!-- <li><a href="/pubs/EN-05-11008.pdf">Your Right to Question A Decision Made On Your Supplemental Security Income (SSI) Claim</a></li>
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<li><a href="/pubs/EN-05-10090.pdf">Your Right To Question The Decision To Stop Your Disability Benefits</a></li> -->
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<li><a href="/pubs/EN-05-10075.pdf">Your Right To Representation</a></li>
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