Welcome! This app will allow you to complete a form to seek review in the district court of a final decision of the Social Security Administration. You will use this form if you received an unfavorable final decision from the Social Security Administration and you want the district court to review that decision.

The defendant in this case is the Commissioner of the Social Security Administration, who has full power and responsibility over Social Security and Supplemental Security Income benefit determinations under the Social Security Act.

You may use this form to file a complaint even if you can't answer all of the questions, or if you don't have the Appeals Council letter. But you may be required later to provide the missing information.

You don't have to use this app to draft a complaint. There is a form available on the court's website and at the courthouse.