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Free Forms & Letters that can be easily filled out.

LegisIT provides the following forms for FREE: Attorneys's Fee for Declaration for Adult and Juvenile cases for the State of Alabama and many Disability forms. We have gone a step further and made each form fillable. What does fillable mean? You can download any form from our site, open it using Adobe Reader 6.0 or Adobe Acrobat 7.0 Professional, and fill it out. Note: If you use Adobe Reader 6.0, you will not be able to save the PDF document, but if you use Adobe Acrobat 7.0 Professional, you will be able to save your document to your local computer or server. If you find an error with any form on our site, contact us via e-mail at services@legisit.com so we can make the necessary changes.


Name	Category	Download


Attorney's Fee Declaration (Adult)	Criminal
C-62A Rev. 7/2000



Attorney's Fee Declaration (Juvenile)	Criminal
C-62B Rev. 7/2001



ALJ Bench Decision - Fully Favorable	Disability
ALJ Rev. N/A



Application for Child's Insurance Benefits	Disability
SSA-4-BK Rev.



Application for Disability Insurance Benefits	Disability
SSA-16-F6 Rev.



Application for Retirement Insurance Benefits	Disability
SSA-1-F6 Rev.



Application for Supplemental Security Income	Disability
SSA-8000-BK Rev.



Application for Supplemental Security Income	Disability
SSA-8001-F5 Rev.



Application for Widow's or Widower's Insurance Benefits	Disability
SSA-10-BK Rev.



Application for Wife's or Husband's Insurance Benefits	Disability
SSA-2-F6 Rev.



Application to Proceed without Prepayment of Fees and Affidavit	Disability
AO-240 Rev. 10/2003



Appointment of Representative	Disability
SSA-1696-U4 Rev. 06-2009



Authorization for SSA to Obtain Account Records from Financial Institutions	Disability
SSA-4641-U2 Rev.



Authorization for the SSA to Obtain Personal Information	Disability
SSA-8510 Rev.



AUTHORIZATION TO DISCLOSE INFORMATION TO THE SSA	Disability
SSA-827 Rev. 06-2007



Certificate of Support	Disability
SSA-760-F4 Rev.



Childhood Disability Evaluation Form	Disability
SSA-538-F6 Rev.



Claim for Amounts Due in the Case of a Deceased Beneficiary	Disability
SSA-1724 Rev.



Claimant's Medications	Disability
HA-4632 Rev.



Claimant's Medications (revised version without form number or date)	Disability
HA-4632R Rev.



Claimant's Recent Medical Treatment	Disability
HA-4631 Rev.



Claimant's Recent Medical Treatment (revised version without form number or date)	Disability
HA-4631R Rev.



Claimant's Work Background	Disability
HA-4633 Rev.



Claimant's Work Background (revised version without form number or date)	Disability
HA-4633R Rev.



Consent for Release of Information	Disability
SSA-3288 Rev.



Disability Report - Adult	Disability
SSA-3368-BK Rev.



Disability Report - Appeal	Disability
SSA-3441-BK Rev.



Disability Report - Child	Disability
SSA-3820-BK Rev.



Employer Report of Special Wage Payments	Disability
SSA-131 Rev.



Function Report - Adult	Disability
SSA-3373-BK Rev.



Function Report - Adult - Third Party	Disability
SSA-3380-BK Rev.



Function Report - Child - Age 1 to 3rd Birthday	Disability
SSA-3376-BK Rev.



Function Report - Child - Age 12 to 18th Birthday	Disability
SSA-3379-BK Rev.



Function Report - Child - Age 3 to 6th Birthday	Disability
SSA-3377-BK Rev.



Function Report - Child - Age 6 to 12th Birthday	Disability
SSA-3378-BK Rev.



Function Report - Child - Birth to 1st Birthday	Disability
SSA-3375-BK Rev.



Living Arrangement/In-Kind Support and Maintenance Development Guide	Disability
SSA-8008 Rev.



Medical Report on Adult with Allegation of HIV Infection	Disability
SSA-4815-F5 Rev.



Medical Report on Child with Allegation of HIV Infection	Disability
SSA-4815-F6 Rev.



Mental Residual Functional Capacity Assessment	Disability
SSA-4734-F4-SUP Rev.



Notice Regarding Substitution of Party Upon Death of Claimant	Disability
HA-539 Rev.



Notice to Representative of Claimant Before the SSA	Disability
SSA-L1697-U3 Rev.



Offset Worksheet--Disability Insurance Benefits	Disability
SSA-2455 Rev.



Pain Report - Child	Disability
SSA-3371-BK Rev.



Petition to Obtain Approval of a Fee for Representing a Claimant Before the SSA	Disability
SSA-1560-U4 Rev.



Plan for Achieving Self-Support	Disability
SSA-545-BK Rev.



Psychiatric Review Technique	Disability
SSA-2506-BK Rev.



Questionnaire for Children Claiming SSI Benefits	Disability
SSA-3881-BK Rev.



Reconsideration Report for Disability Cessation	Disability
SSA-782-BK Rev.



Report of Continuing Disability Interview	Disability
SSA-454-BK Rev.



Reporting Changes That Affect Your Social Security Payment	Disability
SSA-1425 Rev.



Request for Earnings and Benefit Estimate Statement	Disability
SSA-7004-SM Rev.



Request for Hearing by Administrative Law Judge	Disability
HA-501-U5 Rev.



Request for Hearing-Part B Medicare Claim	Disability
HCFA-1965 Rev.



Request for Part A Medicare Hearing by an Administrative Law Judge	Disability
HCFA-5011A-U6 Rev.



Request for Part B Medicare Hearing by an Administrative Law Judge	Disability
HCFA-5011B-U6 Rev.



Request for Reconsideration	Disability
SSA-561-U2 Rev.



Request for Reconsideration of Part A Health Insurance Benefits	Disability
HCFA-2649 Rev.



Request for Reconsideration--Disability Cessation	Disability
SSA-789-U4 Rev.



Request for Review of Hearing Decision/Order	Disability
HA-520-U5 Rev.



Request for Review of Part B Medicare Claim	Disability
HCFA-1964 Rev.



Request for Social Security Earnings Information	Disability
SSA-7050-F4 Rev.



Request for Waiver of Overpayment Recovery or Change in Repayment Rate	Disability
SSA-632-BK Rev.



Request for Withdrawal of Application	Disability
SSA-521 Rev.



Request for Workers' Compensation/Public Disability Benefits Information	Disability
SSA-1709 Rev.



Request to be Selected as Payee	Disability
SSA-11-BK Rev.



Residual Physical Functional Capacity Assessment	Disability
SSA-4734-U8 Rev.



Self-Employment/Corporate Office Questionnaire	Disability
SSA-4184 Rev.



Solicitud de Declaration de Ganancias y Calculo de Beneficios	Disability
SSA-7004-SP Rev.



Statement by the Representative	Disability
SRep Rev.



Statement for Determining Continuing Eligibility for Supp. Security Income Payments	Disability
SSA-8203-BK Rev.



Statement of Claimant or Other Person	Disability
SSA-795 Rev.



Statement of Income and Resources	Disability
SSA-8010-BK Rev.



Statement of Living Arrangements, In-Kind Support and Maintenance	Disability
SSA-8006-F4 Rev.



Statement of Marital Relationship	Disability
SSA-754-F4 Rev.



Statement Regarding Inferred Death--Continued and Unexplained Absence	Disability
SSA-723-F4 Rev.



Statement Regarding Marriage	Disability
SSA-753 Rev.



Waiver of Written Notice of Hearing	Disability
HA-510 Rev.



Waiver of Your Right to Personal Appearance Before an Administrative Law Judge	Disability
HA-4608 Rev.



Work Activity Report (Self-Employed Person)	Disability
SSA-820-F4 Rev.



Work Activity Report--Employee	Disability
SSA-821-BK Rev.



Work History Report	Disability
SSA-3369-BK Rev.



Workers' Compensation/Public Disability Benefit Questionnaire	Disability
SSA-546 Rev.

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