Form Ha 4608 – Fill Out and Use This PDF

The Form HA-4608 is a document used by the Social Security Administration that allows individuals to waive their right to a personal appearance before a judge in the context of social security claims. This form emphasizes the significance of understanding the potential impact of choosing to have a case decided based on written evidence alone, rather than presenting one's case in person. If you're in a situation where proceeding without an in-person hearing seems to be your preferred choice, ensuring that this form is filled out accurately is crucial.

To move forward with waiving your right to a personal appearance and to have your case handled based on the written evidence, click the button below to fill out the form.

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Form Ha 4608 PDF Details

The Ha 4608 form serves a crucial function within the operational framework of the Social Security Administration, embodying a claimant's conscious decision to waive their right to a personal appearance before a judge. Simplistically, this document is not just another piece of paperwork but a significant declaration, outlining a claimant's wish to have their case decided based solely on the written evidence presented. At its core, the form underscores the importance of understanding one’s rights - from the pivotal opportunity of being physically present during the decision-making process, which permits direct interaction and the presentation of evidence and witnesses, to the option of entirely circumventing this process. Perhaps most noteworthy is the form’s intricate design to ensure that claimants are fully informed about what precisely they are surrendering. It meticulously details not only the implications of choosing not to appear but also the alternatives available such as submitting a written summary or statements if a claimant opts not to attend the hearing in person. Moreover, it addresses the continuity of representation rights, providing guidance on obtaining legal assistance, thereby reinforcing the Social Security Administration's commitment to fairness and accessibility. The form, through its dual page layout, also delves into crucial privacy concerns, outlining how the provided personal information will be utilized and shared, in adherence to several statutory provisions. It emphasizes voluntary participation, yet subtly reminds of the potential consequences of incomplete submissions. Ultimately, the Ha 4608 form serves as a tangible representation of the intersection between individual rights and administrative procedures, ensuring claimants are well-informed and prepared for the implications of their choices.

Question	Answer
Form Name	Form Ha 4608
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	ha 4608 form, social security waiver form ha 4608, waiver personal appearance, form personal appearance

Form Preview Example

Form HA-4608	(06-2021) UF	Page 1 of 2
Social Security	Administration	OMB No. 0960-0284

WAIVER OF YOUR RIGHT TO PERSONAL APPEARANCE

BEFORE A JUDGE

Claimant:

Wage Earner

(Leave blank if same as claimant):

Social Security Claim Number:

NOTE: Please read the PRIVACY ACT statement on the reverse page and the statements below. Then, print, write, or type your response to the statements in the space provided below. If you need more space, attach a separate page to this form.

•I have been advised of my right to appear in person before a judge. I understand that my personal appearance before a judge would provide me with the opportunity to present written evidence, my testimony, and the testimony of other witnesses. I understand that this opportunity to be seen and heard could be helpful to the judge in making a decision.

•Although my right to a personal appearance before a judge has been explained to me, I do not want to appear in person. I want to have my case decided on the written evidence. The reason I do not want to appear in person at a hearing is:

___________________________________________

•I understand that if I do not appear before a judge, I still have the right to present a written summary of my case, or to enter written statements about the facts and law material to my case in the record.

•If I change my mind and decide to request a personal appearance before the judge, I understand that I should make this request to the office conducting the hearing before the judge’s decision is mailed to me.

•I understand that I have a right to be represented and that if I need representation, the Social Security office or office conducting the hearing can give me a list of legal referral and service organizations to assist me in locating a representative.

SIGNATURE OF CLAIMANT (OR AUTHORIZED REPRESENTATIVE)

DATE

Form HA-4608 (06-2021) UF	Page 2 of 2

Privacy Act Statement Collection and Use of Personal Information

Sections 205(a), 1631(e), and 1869(b) of the Social Security Act, as amended, allow us to collect this information. Furnishing us this information is voluntary. However, failing to provide all or part may prevent us from making an accurate and timely decision on your claim.

We will use the information you provide to continue processing the claim without an oral hearing. We may also share your information for the following purposes, called routine uses:

•To third party contacts in situations where the party to be contacted has, or is expected to have, information relating to the individual’s capability to manage his/her affairs or his/her eligibility for or entitlement to benefits under the Social Security program when the individual is unable to provide information being sought; or the data needed to establish the validity of evidence or to verify the accuracy of information presented by the individual; and

•To contractors and other Federal agencies, as necessary, for the purpose of assisting SSA in the efficient administration of its programs.

In addition, we may share this information in accordance with the Privacy Act and other Federal laws. For example, where authorized, we may use and disclose this information in computer matching programs, in which our records are compared with other records to establish or verify a person’s eligibility for Federal benefit programs and for repayment of incorrect or delinquent debts under these programs.

A list of additional routine uses is available in our Privacy Act System of Records Notices (SORN) 60-0009, entitled Hearing and Appeals Case Control System, as published in the Federal Register (FR) on October 13, 1982, at 47 FR 45589 and 60-0089, entitled Claims Folder System, as published in the FR on April 1, 2003, at 68 FR 15784. Additional information, and a full listing of all of our SORNs, is available on our website at www.ssa.gov/privacy/.

Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget control number. We estimate that it will take about 2 minutes to read the instructions, gather the facts, and answer the questions. SEND OR BRING THE COMPLETED FORM TO YOUR LOCAL SOCIAL SECURITY OFFICE. You can find your local Social Security office through SSA’s website at www.socialsecurity.gov. Offices are also listed under

U. S. Government agencies in your telephone directory or you may call Social Security at 1-800-772-1213 (TTY

1-800-325-0778). You may send comments regarding this burden estimate or any other aspect of this collection, including suggestions for reducing this burden to: SSA, 6401 Security Blvd, Baltimore, MD 21235-6401. Send only comments relating to our time estimate or other aspects of this collection to this address, not the completed form.

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If you want to finalize this document, ensure you type in the required details in each blank field:

1. While completing the form 4608, be certain to incorporate all of the needed blank fields within the relevant section. It will help hasten the process, making it possible for your details to be processed fast and correctly.

Step number 1 of filling out ha 4608 form

2. The subsequent step is to submit the next few blanks: SIGNATURE OF CLAIMANT OR, and DATE.

DATE, SIGNATURE OF CLAIMANT OR, and DATE of ha 4608 form

3. This next section is pretty uncomplicated, Form HA UF, Page of, Privacy Act Statement Collection, and Sections a e and b of the Social - each one of these form fields will need to be filled out here.

4. To go onward, the next part will require filling in a few blank fields. These comprise of Paperwork Reduction Act Statement, which are essential to going forward with this PDF.

People generally make some mistakes when filling out Paperwork Reduction Act Statement in this part. Be sure to reread everything you type in right here.

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Form Ha 4608 – Fill Out and Use This PDF

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