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Whether your hearing is conducted in person or by video, you should expect it to primarily serve as an information-gathering process for the administrative law judge (ALJ) who will decide your claim. For this reason, you should work with a lawyer who is familiar with the different types of information that ALJs in Virginia want to review.
During the hearing, the judge will hear from witnesses such as a medical expert and/or vocational expert. You (or your attorney) can cross-examine these witnesses and present your own witnesses. You can also testify on your own behalf.
Although the judge may announce a decision at the end of the hearing, you should expect a few more weeks or months to pass until you receive the official notice in the mail.