Western District of Louisiana
Published on Western District of Louisiana (http://www.lawd.uscourts.gov)

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Appeal of a Social Security Administration Decision

Fillable Form:     PDF [1]     WordPerfect [2]     Word [3]

Instructions: Save the form to your computer, fill in the blanks and return to the court.

The Court's jurisdiction of this cause is predicated on and invoked pursuant to 42 USC 405(g) to review a decision of the Commissioner of the Social Security Administration denying plaintiff's application.


Source URL: http://www.lawd.uscourts.gov/appeal-social-security-administration-decision

Links
[1] http://www.lawd.uscourts.gov/sites/default/files/UPLOADS/LAWD_Appeal_of_SSA_Decision.pdf
[2] http://www.lawd.uscourts.gov/sites/default/files/UPLOADS/LAWD_Appeal_of_SSA_Decision_0.wpd
[3] http://www.lawd.uscourts.gov/sites/default/files/UPLOADS/LAWD_Appeal_of_SSA_Decision_0.docx