Form 795 allows you to provide the information necessary to keep your benefits active during an appeal. When you appeal a Social Security decision, it is essential to ensure that your benefits do not have any interruption. One way to support your case while you are in this process is to file SSA Form 795.
Here we discuss details of what you should know about SSA Form 795. This form, titled “Claimant Statement,” is a versatile tool used to submit written explanations or clarifications to the Social Security Administration (SSA). Here we guide you with a guide on how to effectively complete SSA Form 795 to strengthen your claim in the appeal process.
What Is the SSA Form 795 Is Used For?
SSA Form 795 is a written statement you provide to clarify any aspect of your Social Security disability claim. The SSA prefers this form over other forms of correspondence because it includes a penalty clause for untrue statements, making it an official piece of documentation. It allows you to present testimony to explain circumstances that could affect your claim or appeal.


The form is especially helpful if you need to clarify or explain something that might otherwise create ambiguity or jeopardize your claim. For example, if you had a medical test that went wrong or if there is a discrepancy in your medical records, SSA Form 795 gives you the opportunity to provide context. It also gives you the opportunity for witnesses, employers, or doctors to give statements that further support your claim. Here’s how you can use the form to address common problems in your appeal process.
Clarification of Medical Conditions
If your medical records have inconsistencies, such as a misdiagnosis or outdated information, use SSA Form 795 to clarify these details. For example, if you have a history of substance abuse but have been sober for a period of time, you can provide a statement detailing the dates you stopped using and the steps you have taken to stay sober.
Presentation of Witness Testimonies
Witnesses who know you well, such as family or friends, can submit statements using this form. Your testimonials should be based on how your condition has affected your daily life. To give an example, a spouse may explain how their ability to do tasks around the house has changed or how their illness has caused them to become depressed or isolated.
Provide Employer Statements
If your employer has made some accommodations, such as allowing you to work fewer hours and continue paying your full salary, SSA Form 795 may clarify this agreement. Without this explanation, the SSA may believe that you are still working at a level that disqualifies you from being a beneficiary.
Employers can use the form to explain how they have supported you and why it does not reflect your ability to do substantial work, including medical evidence. Doctors can use SSA Form 795 to make statements about how your medical condition impacts your life. This may be specifically useful for less understood conditions, such as long COVID, for which medical opinions may not be fully developed yet. A doctor’s testimony can give SSA a better understanding of your limitations and the impact on your daily activities.
Why is SSA Form 795 Important?
Correctly completing SSA Form 795 can make a significant difference in your appeal. It provides a direct line of communication with the person evaluating your case, allowing you to explain complicated situations that could otherwise hinder your claim.
By addressing inconsistencies and offering additional testimony, the form can help ensure that your benefits remain while your appeal is validated. SSA Form 795 is an essential part of the appeals process for Social Security disability claims. Whether you need to clarify medical details, present witness statements, or explain work accommodations, this form gives you the opportunity to provide the information needed to keep your benefits flowing during an appeal. Be thorough, honest and clear in your statements to give your claim the best chance of success.