Form SSA-437-BK. Complaint Form for Allegations of Discrimination in Programs or Activities Conducted by the Social Security Administration

Form SSA-437-BK, the Complaint Form for Allegations of Discrimination in Programs or Activities Conducted by the Social Security Administration, is used to report allegations of discrimination in programs or activities conducted by the Social Security Administration (SSA). The main purpose of this form is to provide a mechanism for individuals to report instances of discrimination.

For example, if an individual believes they have experienced discrimination while interacting with the SSA or accessing SSA programs or activities, they can use this form to file a complaint. The purpose is to allow individuals to bring allegations of discrimination to the attention of the SSA for investigation and resolution.

The parties involved are individuals who believe they have experienced discrimination in SSA programs or activities and the SSA. The form consists of sections for reporting the details of the alleged discrimination, the parties involved, and any witnesses or evidence. It is important to provide accurate and detailed information when filing a discrimination complaint.