Form HA 4633

When an applicant applies for Social Security Disability Insurance or Supplemental Security Income from the Social Security Administration, more often than not the initial claim for benefits is denied. This usually results in the need for a Social Security Disability hearing. When appealing the SSA’s decision to deny your benefits, the Administrative Law Judge that is in charge of presiding over your disability hearing will take a number of factors when deciding your disability case, including any work you may have performed since filing your Social Security Disability claim.

In order to present the ALJ with an accurate account of your work history for this period, you will need to provide the judge with a completed Form HA 4633. This form may also be used to inform the judge of work that you may have performed before your disability application, but failed to mention when filing your initial Social Security Disability claim.

You can download Form HA 4633 from the Social Security Administration’s website. Once you have completed the form it must be sent to the hearing office that is handling your disability hearing. If you are working with a Social Security Disability attorney, your attorney will be able to obtain this form for you and will go over the form with you to ensure that it is accurate and up-to-date. The attorney will also file the form for you on your behalf, ensuring that the ALJ has everything he or she needs in order to make a fair decision regarding your appeal for Social Security Disability benefits.

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