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Ha 85  Form

Ha 85 Form

Use a request to withdraw request for hearing ssa 0 template to make your document workflow more streamlined.

Send you a dismissal notice and we will not process your case. The last determination in your case will stay in effect. If you change your mind, you must ask the ALJ to cancel this request to withdraw within 60 days after you get the dismissal notice. You must give a good reason why the dismissal was wrong. You may also file an appeal with the Appeals Council (AC) within 60 days after you get the dismissal notice. Even if you do not ask the ALJ to cancel your request, and do not file an appeal,...
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