Complaint For Review Of The Decision Of The Commissioner Of Social Security

L R Civ P 9.2 - COMPLAINT FOR REVIEW OF THE DECISION OF THE COMMISSIONER OF SOCIAL SECURITY. This form is used in the United States District Court for the Southern District of West Virginia when a plaintiff seeks judicial review of a final decision made by the Commissioner of Social Security. It allows an individual who has exhausted all administrative remedies to formally file a complaint challenging the Commissioner’s determination regarding Social Security benefits, such as disability, survivor, retirement, black lung, or supplemental income claims. The form requires the plaintiff to provide identifying information, the type of claim being filed, and details regarding the Commissioner’s final decision. It also includes important notices about privacy protections under Federal Rule of Civil Procedure 5.2 and requires compliance with Rule 11, which ensures that the complaint is filed in good faith, supported by law, and not for improper purposes. By completing and filing this document, the plaintiff requests the court to review the Social Security decision and to grant appropriate relief, including costs. www.FormsWorkflow.com