Form SSA-765. Response to Notice of Revised Determination

Form SSA-765, the Response to Notice of Revised Determination, is used to respond to a revised determination by the SSA regarding an individual's eligibility for benefits. The main purpose is to allow individuals to appeal or provide additional information after receiving a notice of revised determination.

An example scenario is when someone disagrees with a decision made by the SSA about their eligibility for benefits. They can fill out this form to explain their position and provide additional evidence. The benefit is to allow individuals to appeal and potentially correct a determination that they believe is incorrect.

The parties involved are individuals appealing a revised determination and the SSA. This form typically includes sections for explaining the disagreement and providing supporting information.