SSA-561 Form: Field-by-Field Guide 18339502744

**1. Name of Claimant:** Clifford Ray Hackett

**2. Claimant’s Social Security Number:** 522270084

**3. Issue Being Appealed:**

Benefits wrongly stopped my disability is permanent and deteriorating

**4. I Do Not Agree With The SSA’s Determination Because:**

Even though recertification should not be required, recertification package was done and personally delivered

**5. I Want This Decision Reconsidered Because:**

Multiple stoppages and other things have occurred BUT my disability is permanent and deteriorating

**6. Signature:**

**7. Mailing Address:** Clifford RAY Hackett General delivery Barrigada, Guam 96913

**8. Phone Number:** 671-787-2345

COVER LETTER

**Clifford Ray Hackett** General Delivery Barrigada, Guam 96913 Phone: (671) 787-2345

**To:**

Social Security Administration

Suite 155

770 East Sunset Blvd

Tiyan Barrigada, Guam 96913

**Subject: Urgent Reconsideration Request & Pattern of Misconduct**

To Whom It May Concern,

I am requesting immediate reconsideration of the wrongful termination of my Social Security Disability benefits. I am permanently disabled, my condition is worsening, and I personally delivered my recertification package—yet my benefits were stopped without justification.

This is not an isolated incident. I am the only person I know of whose Social Security deductions exceeded 90% of income for just three of my twelve children. These repeated, extreme actions suggest more than error—they point to a pattern of mistreatment that warrants investigation.

I respectfully demand reinstatement of my benefits and a formal inquiry into the individuals responsible for these ongoing injustices.

Sincerely, Clifford Ray Hackett