Form Ha 501 U5 - If you disagree with the reconsideration determination, you or your representative may request a hearing before a judge by writing to. What information do i need to complete form ha. If you are not sure this is the form you should use, the notice of reconsideration. City state zip code city state zip code date area code and telephone. Collection and use of personal information. If you do not agree with the reconsideration decision we made on your.
If you disagree with the reconsideration determination, you or your representative may request a hearing before a judge by writing to. What information do i need to complete form ha. City state zip code city state zip code date area code and telephone. If you do not agree with the reconsideration decision we made on your. Collection and use of personal information. If you are not sure this is the form you should use, the notice of reconsideration.