LexisNexis® Automated Forms - Updates for Social Security Forms CD (Release 9) March - 2009

Microsoft Word®

Link

Title

Reason For Update

ssa1560u4-mw
137 KB
11/13/2009

Petition to Obtain Approval of a Fee for Representing a Claimant Before the SSA (SSA-1560-U4)

Fixed tab order

ssa3820-mw
165 KB
11/13/2009

Disability Report-Child (SSA-3820-BK)

Updated form (10/2009)

ssa546-mw
50 KB
11/13/2009

Workers Compensation/Public Disability Benefit Questionnaire (SSA-546)

Updated form (04/2009)

ssa632bk-mw
125 KB
11/13/2009

Request for Waiver of Overpayment Recovery or Change in Repayment Rate (SSA-632-BK)

Updated form (05/2009)

ssa11bk-mw
116 KB
11/13/2009

Request to Be Selected as Payee (SSA-11-BK)

Updated form (08/2009)

ssa821bk-mw
206 KB
10/23/2009

Work Activity Report--Employee (SSA-821-BK)

Updated version (09/2009)

ssa795-mw
34 KB
10/23/2009

Statement of Claimant or Other Person (SSA-795)

Updated version (06/2009)

ssa561u2-mw
51 KB
10/23/2009

Request for Reconsideration (SSA-561-U2)

Updated version (10/2009)

ssa1696u4-m
72 KB
09/15/2009

Appointment of Representative (SSA-1696-U4)

Updated version (06/2009)

feesagrmnt-mw
13 KB
07/15/2009

Sample Written Fee Agreement (For Use in the Fee Agreement Process)

Updated fee limit to $6,000

ssa1697u3-mw
26 KB
07/06/2009

Notice to Representative of Claimant Before the SSA (SSA-L1697-U3)

Updated version (03/2009)

ssa827-mw
38 KB
06/18/2009

Authorization for Source to Release Information to the SSA (SSA-827)

Updated version (04/2009)

ao240-mw
52 KB
05/15/2009

Application to Proceed without Prepayment of Fees and Affidavit (AO 240)

Updated version (01/2009)

ha520u5-m
28 KB
05/15/2009

Request for Review of Hearing Decision/Order (HA-520-U5)

Updated version (04/2009)

ssa4734bk-m
69 KB
04/23/2009

Residual Physical Functional Capacity Assessment (SSA-4734-BK)

Fixed incorrect link in libraries

ssa521-m
52 KB
04/23/2009

Request for Withdrawal of Application (SSA-521)

Updated version (04/2009)

 

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Corel WordPerfect®

Link

Title

Reason For Update

ssa1560u4-wp
137 KB
11/13/2009

Petition to Obtain Approval of a Fee for Representing a Claimant Before the SSA (SSA-1560-U4)

Fixed tab order

ssa3820-wp
165 KB
11/13/2009

Disability Report-Child (SSA-3820-BK)

Updated form (10/2009)

ssa546-wp
50 KB
11/13/2009

Workers Compensation/Public Disability Benefit Questionnaire (SSA-546)

Updated form (04/2009)

ssa632bk-wp
125 KB
11/13/2009

Request for Waiver of Overpayment Recovery or Change in Repayment Rate (SSA-632-BK)

Updated form (05/2009)

ssa11bk-wp
116 KB
11/13/2009

Request to Be Selected as Payee (SSA-11-BK)

Updated form (08/2009)

ssa821bk-wp
206 KB
10/23/2009

Work Activity Report--Employee (SSA-821-BK)

Updated version (09/2009)

ssa795-wp
34 KB
10/23/2009

Statement of Claimant or Other Person (SSA-795)

Updated version (06/2009)

ssa561u2-wp
51 KB
10/23/2009

Request for Reconsideration (SSA-561-U2)

Updated version (10/2009)

ssa1696u4-w
73 KB
09/15/2009

Appointment of Representative (SSA-1696-U4)

Updated version (06/2009)

feesagrmnt-wp
20 KB
07/15/2009

Sample Written Fee Agreement (For Use in the Fee Agreement Process)

Updated fee limit to $6,000

ssa1697u3-wp
26 KB
07/06/2009

Notice to Representative of Claimant Before the SSA (SSA-L1697-U3)

Updated version (03/2009)

ssa827-wp
38 KB
06/18/2009

Authorization for Source to Release Information to the SSA (SSA-827)

Updated version (04/2009)

ao240-wp
52 KB
05/15/2009

Application to Proceed without Prepayment of Fees and Affidavit (AO 240)

Updated version (01/2009)

ha520u5-w
28 KB
05/15/2009

Request for Review of Hearing Decision/Order (HA-520-U5)

Updated version (04/2009)

ssa4734bk-w
52 KB
04/23/2009

Residual Physical Functional Capacity Assessment (SSA-4734-BK)

Fixed incorrect link in libraries

ssa521-wp
69 KB
04/23/2009

Request for Withdrawal of Application (SSA-521)

Updated version (04/2009)

 

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