Form Details

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Claimant's Work Background

SSA uses the information collected on Form HA-4633 to provide claimant's their statutory right to a hearing and decision under the Social Security Act. A completed form provides an updated summary of a claimant's past relevant work and helps the Administrative Law Judge (ALJ) to decide whether or not the claimant is disabled.
Form #: HA 4633
Agency: Social Security Administration
Type: Form Only
Capability: [2] Printable Only
Format: pdf
Pages: 2
File Size: 200 KB
What's Needed: Adobe Reader  Download