Form SSA-3441 | Disability Report - Appeal

When we make a decision on your claim, we send you a letter explaining our decision. If you do not agree with our decision, you can appeal—that is, ask us to look at your case again.

If you applied for Social Security or Supplemental Security Income (SSI) disability benefits and were denied for medical reasons, you may request an appeal online.

Appeal Our Recent Medical Decision

tai tro choiIf you do not wish to appeal online, you should submit:

Where to send this form

Send the completed form to your local Social Security office. If you have any questions, you may call us toll-free at 1-800-772-1213 Monday through Friday from 7 a.m. to 7 p.m. If you are deaf or hard of hearing, you may call our TTY number, 1-800-325-0778.