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This version of the form is not currently in use and is provided for reference only. Download this version of
Form SSA-765
for the current year.
Form SSA-765 Response to Notice of Revised Determination
What Is Form SSA-765?
This is a legal form that was released by the U.S. Social Security Administration on September 1, 2019 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form SSA-765?
A: Form SSA-765 is a response to a Notice of Revised Determination.
Q: When is Form SSA-765 used?
A: Form SSA-765 is used when responding to a Notice of Revised Determination.
Q: What is a Notice of Revised Determination?
A: A Notice of Revised Determination is a communication from the Social Security Administration informing you of a revision in their initial determination regarding your benefits.
Q: Why would I need to respond to a Notice of Revised Determination?
A: You would need to respond to a Notice of Revised Determination if you disagree with the revised determination made by the Social Security Administration.
Form Details:
- Released on September 1, 2019;
- The latest available edition released by the U.S. Social Security Administration;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form SSA-765 by clicking the link below or browse more documents and templates provided by the U.S. Social Security Administration.
Download Form SSA-765 Response to Notice of Revised Determination
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