Disability and agingOfficial formconditional

Social Security Request for Hearing by Administrative Law Judge

Official owner Social Security Administration

Official document

Open the official form

Issued by: Social Security Administration
Form number: HA-501
Last checked: Sep 30, 2026

Opens the copy posted by Social Security Administration. Revision shown on our record: Jun 2022. Before using it, confirm the form number and revision match.

Request a hearing after reconsideration; follow the decision notice and the appropriate medical or nonmedical pathway.

What problem this helps solve

Request a hearing after reconsideration; follow the decision notice and the appropriate medical or nonmedical pathway.

Who completes it: Claimant or recognized representative.

What this does not prove

Official instructions and the person's notice control; an application is not an eligibility or approval decision.

Dated source check

Official destination checked

Baseline hearing route now read, alongside public form page and direct PDF. 06-2022 visible edition has month precision; upload sign-in is one alternative.

Last checked Sep 30, 2026. A working link does not establish the current edition, suitability, agency acceptance, or service availability.

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Steps for using this form

Use the official pathway

No One Left Outside's preparation notes summarize the dated sources in this record. Follow the agency's official instructions and current edition when they differ.

1. Check that this route fits

Stage and purpose: Hearing after reconsideration
Who completes it: Claimant or recognized representative.
Jurisdiction: United States
Application mode: Online; Upload; Print and mail; In person

2. Prepare before starting

Read the reconsideration decision and notice deadline.

Documents named by the source

Reconsideration notice and explanation.
For disability, SSA-3441 and SSA-827 as instructed.
SSA-1696 if appointing a representative.

Fees and fee waivers: UNKNOWN — no filing fee stated in checked instructions.
Account: Sign-in required for upload option; other published routes exist.
Appointment: SSA schedules the actual hearing; office submission arrangements UNKNOWN.
Signature: Follow HA-501 fields and current submission instructions; related medical release or appointment forms require separate signatures.
Third-party certification or assessment: Unknown — confirm any certification, referral, or assessment with the official owner.

3. Follow official submission instructions

Read official instructions

Online disability/nonmedical hearing request
Signed-in upload option
Mail or deliver paper original to local SSA office; retain copy

4. Get help or an accommodation

Social Security — 800-772-1213; TTY 800-325-0778
Get help with the actual claim, report, appeal, payee or card task. Ask SSA which office provides that service and whether an appointment is needed before traveling.

Languages: English form; agency phone help in English, Spanish and other languages.

Accessibility: External source conformance was not evaluated; request agency assistance for an inaccessible process.

5. Know the supported next step

Keep request confirmation and track hearing status.
Follow SSA instructions for evidence and attendance.

Restrictions and unresolved details

Current route states 60 days after reconsideration decision; the person's notice and any late-request issue require SSA review.
Online, phone or in-person hearing method is determined separately.

Official instructions and the person's notice control; an application is not an eligibility or approval decision.

Continue with your journey

Return to the connected step to decide what to do next. Opening this record does not complete that step or submit an application. If the official route is unavailable, use the assistance options above or browse help in the journey.

Applying for SSI or SSDI
- Ask for an administrative-law-judge hearing
  Return to step: Read the date on your notice
Browse help for Applying for SSI or SSDI

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Form record

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Official title: Social Security Request for Hearing by Administrative Law Judge
Form number: HA-501
Program: Social Security appeal
Jurisdiction: United States
Revision / edition: Jun 2022
Who completes it: Claimant or recognized representative.
Signature: Follow HA-501 fields and current submission instructions; related medical release or appointment forms require separate signatures.
Submission methods: Online disability/nonmedical hearing request, Signed-in upload option, Mail or deliver paper original to local SSA office; retain copy
Supporting documents: • Reconsideration notice and explanation.
• For disability, SSA-3441 and SSA-827 as instructed.
• SSA-1696 if appointing a representative.
Languages: English form; agency phone help in English, Spanish and other languages.
Accessibility: External source conformance was not evaluated; request agency assistance for an inaccessible process.

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Applying for SSI or SSDI

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Source note: Official instructions and the person's notice control; an application is not an eligibility or approval decision.

No One Left Outside does not process this form, receive your answers, decide eligibility, or represent the agency. A destination check does not confirm current funding, acceptance, or an outcome.

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