SSA-561 Form: Field-by-Field

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

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

**3. Issue Being Appealed:**

WRONGFUL benefits stoppage

**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 and there is video of the delivery

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

This is ongoing retaliation because I videoed employee CRIMES!. 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

**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— while recording video , yet my benefits were stopped without justification.

This is not an isolated incident. I am the only person blocked from my online account every time I go to Social Security to get access, it stops working as soon as I leave the premises. These repeated, extreme actions are targeted persecution, not just errors!

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

Sincerely, Clifford Ray Hackett

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Alabama: 8339502828
Alaska: 8339503491
Arizona: 8339503492
Arkansas: 8339503493
California: 8339503494
Colorado: 8339503495
Connecticut: 8339503496
Delaware: 8339503497
Florida: 8339503498
Georgia: 8339503499
Hawaii: 8339503500
Idaho: 8339503501
Illinois: 8339503502
Indiana: 8339503503
Iowa: 8339503504
Kansas: 8339503505
Kentucky: 8339503506
Louisiana: 8339503507
Maine: 8339503508
Maryland: 8339503509
Massachusetts: 8339503510
Michigan: 8339503511
Minnesota: 8339503512
Mississippi: 8339503513
Missouri: 8339503514
Montana: 8339503515
Nebraska: 8339503516
Nevada: 8339503517
New Hampshire: 8339503518
New Jersey: 8339503519
New Mexico: 8339503520
New York: 8339503521
North Carolina: 8339503522
North Dakota: 8339503523
Ohio: 8339503524
Oklahoma: 8339503525
Oregon: 8339503526
Pennsylvania: 8339503527
Rhode Island: 8339503528
South Carolina: 8339503529
South Dakota: 8339503530
Tennessee: 8339503531
Texas: 8339503532
Utah: 8339503533
Vermont: 8339503534
Virginia: 8339503535
Washington: 8339503536
West Virginia: 8339503537
Wisconsin: 8339503538
Wyoming: 8339503539

https://ray2407.github.io/250527b/2/

https://ray2407.github.io/250527b/

https://ray2407.github.io/

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