Application of Circuit Court Law

OMB 0960-0581

OMB 0960-0581

SSA develops criteria for our adjudicators to identify claims that may be subject to readjudication based on particular acquiesence ruling (AR). SSA sends a notice to claimants whose claims we identifiy, or who self-identify (via the Federal Register published AR), as subject to readjudication providing information about the AR and their right to request readjudication. After reviewing the notice, the claimant or the claimant’s authorized representative, is able to decide whether requesting readjudication of their claim is in the claimaint’s best interest. The notice informs claimants they can request readjudication by contacting their local SSA field office, or through a written response on the AR notice. Claimants must decide whether to respond to the notice and provide the requested information to move forward with readjudication. The respondents are claimants for Social Security benefits and Supplemental Security Income payments, who request a readjudication of their claim based on an AR notice.

The latest form for Application of Circuit Court Law expires 2021-10-31 and can be found here.

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