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Prevail Software | Form Letters

Prevail Software

Prevail v4.7
Client Install
User Manual (PDF format)

Prevail v3.9.2
Client Install

Forms & LEtters

Prevail forms are only available to those Prevail users with a current technical support contract in place. If you would like to inquire about the status of your technical support contract, please call 407.228.4400 before submitting this form.

Complete the form below to request forms and the files will be emailed to you upon verification of your eligibility to receive free forms. Please fill out this entire form. Incomplete requests will not be honored.

If you'd like to request a document that is not listed below, please send an email to forms@prevail.net for pricing information for document creation.

*Name
Firm Name
*Email
Phone
Prevail Version	3.9.2.x 3.9.3 4.x 5.x 6.x How do I find this?
Word Processor	Word WordPerfect
Merge Engine	Old Merge New Merge Prevail 5 Prevail 6 How do I find this?
Forms Requested
HA-1151 - Medical Source Statement of Ability to do Work-Related Activities (Physical) (8-2006) HA-1152 - Medical Source Statement of Ability to do Work-Related Activities (Mental) (11-2002) HA-4631 - Claimant's Recent Medical Treatment (10-2004) HA-4632 - Claimant's Medications (10-2004) HA-4633 - Claimant's Work Background (10-2004) HA-501 - Request for Hearing by Administrative Law Judge (03-2008) HA-510 - Waiver of Written Notice of Hearing (04/2009) HA-520 - Request for Review of Hearing Decision/Order (4-2009) HA-539 - Notice Regarding Substitution of Party Upon Death of Claimant (10/2000) SSA-1560 - Petition to Obtain Approval of a Fee for Representing a Claimant Before the SSA (2-2005) SSA-16 - Application for Disability Insurance Benefits (7-2005) SSA-1695 - Identifying Information for Possible Direct Payment of Authorized Fees (9-2006) SSA-1696 - Appointment of Representative (06-2009) SSA-3288 - Consent for Release of Information (5-2007) SSA-3368 - Disability Report - Adult (1-2010) SSA-3369 - Work History Report (4-2008) SSA-3373 - Function Report - Adult (6-2004) SSA-3441 - Disability Report - Appeal (07-2008) SSA-3820 - Disability Report - Child (10-2008) *AVAILABLE IN WORD ONLY* SSA-3381 - Medical and Job Worksheet - Adult (4-2005) SSA-521 - Request for Withdrawal of Application (04-2009) SSA-546 - Workers' Compensation/Public Disability Benefit Questionnaire (9/2007) *AVAILABLE IN WORD ONLY* SSA-561 - Request for Reconsideration (07-2008) SSA-61 - Request for Review by a Federal Reviewing Official (8-2006) SSA-632 - Request for Waiver of Overpayment Recovery or Change in Repayment Amount (03/2008) *WORD ONLY* SSA-7004 - Request for Social Security Statement (06/2008) *AVAILABLE IN WORD ONLY* SSA-789 - Request for Reconsideration - Disability Cessation (07-2008) SSA-795 - Statement of Claimant or Other Person (06-2009) SSA-8001 - Application for Supplemental Security Income (07-2009) SSA-821 - Work Activity Report - Employee (06-2008) SSA-827 - Authorization to Disclose Information to the SSA (04-2009) SSA-827- Authorization to Disclose Information to the SSA (Includes Instructions Page) (04-2009) ALJ Bench Decision Checksheet - Print Version VA21-22A - Appointment of Individual as Claimant's Representative (06-2009) - Word Only VA21-22A - Appeal to Board of Veterans Appeals (04-2004) - Word Only VA21-534 - Application for Dependency and Indemnity Compensation (03-2009) - Word Only VA21-4142 - Authorization and Consent to Release Information to the dept of Veterans Affairs (05-2004) - Word Only VA3288 - Release of Info from Individuals Records (10-2008) - Word Only VA180 - Standard Form 180 (09-2008) - Word Only VA21-4138 - Statement in Support of Claim (08-2004) - Word Only VA21-0781 - Statement in Support of Claim for Service Connection for PTSD (10-2007) - Word Only VA21-8940 - Veterans Application for Increased Compensation Based on Unemployability (10-2004) - Word Only VA21-526 - Veterans application for Compensation and/or Pension (A-D) (01-2004) - Word Only
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