If you do not agree with the decision or order of an Administrative Law Judge (ALJ) on your claim, you may ask the Appeals Council (AC) to review the ALJ's action. The notice you received will tell you how to appeal the ALJ's decision or order.
The preferred method for appealing the ALJ's decision or order is by using the SSA secure online process AC iAppeal Online.
You may also use the form below, write a letter or fax.
Please send your request to:
Social Security Administration
Office of Appellate Operations
6401 Security Blvd
Baltimore, MD 21235-6401
Or, Fax to: 1-833-509-0817
If the notice does not say this, or you are still experiencing issues filing an appeal, you should call 1-800-772-1213 or your local Social Security Office and they will help you complete the right appeal form.
You must file your appeal within 60 days after the date you got the hearing decision or order. We assume that you got the hearing decision or order within 5 days after the date shown on the notice unless you can show us you did not get it within the 5-day period.
Time to Submit New Evidence
If you have additional evidence that relates to the period on or before the date of the hearing decision, you must inform the Appeals Council about it or submit it. If you have a representative, then your representative must help you obtain the evidence unless the evidence falls under an exception. You may also submit any other additional evidence to the Appeals Council. If you need additional time to submit evidence or legal argument, you must request an extension of time in writing now. This will ensure that the Appeals Council has the opportunity to consider the additional evidence before taking its action. If you submit neither evidence nor legal argument now or within any extension of time the Appeals Council grants, the Appeals Council will take its action based on the evidence currently in your file.
Tell us why you disagree with the hearing decision or order. If you need additional space, you can attach a separate sheet of paper. Include your name and your SSN, and the claim number if applicable, on any additional pages, and on all correspondence, you send to us. Please grant me an extension of time to submit evidence or argument: Mark this checkbox to request an extension of time to submit evidence or argument.
Do not complete anything below the line that says “THE SOCIAL SECURITY STAFF WILL COMPLETE THIS PART.” We will complete this part of the form when we receive it.
Where to send this form
Send the completed form to your local Social Security office or to the Social Security Administration, Office of Appellate Operations, 6401 Security Blvd., Baltimore, MD 21235-6401. If you have any questions, you may call us toll-free at 1-800-772-1213 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, 1-800-325-0778.