Illinois Sample Letter Disputing Denial of Social Security Benefits: [Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] [Social Security Administration] [Office Address] [City, State, ZIP Code] Subject: Disputing Denial of Social Security Benefits for [Claimant's Name], [SSN] Dear [Social Security Administration], I am writing this letter on behalf of [Claimant's Name], who recently received a denial of Social Security benefits. We respectfully request a review and reconsideration of this decision based on the following grounds: 1. Medical Evidence: The initial denial appears to discount key medical evidence supporting [Claimant's Name]'s eligibility for Social Security Disability Insurance (SDI) or Supplemental Security Income (SSI) benefits. Attached to this letter are detailed medical records from [name(s) of healthcare provider(s)], outlining the nature, severity, and duration of [Claimant's Name]'s condition(s). These medical records directly support the conclusion that [Claimant's Name] meets the eligibility criteria outlined by the Social Security Administration (SSA). 2. Functional Limitations: The denial did not accurately reflect the limitations that [Claimant's Name] experiences as a result of their condition. We kindly request a reassessment of the residual functional capacity (RFC) evaluation, as [Claimant's Name] encounters significant challenges in daily activities such as [provide specific examples]. These limitations directly impact their ability to undertake substantial gainful activity, warranting reconsideration of eligibility. 3. Compliance with Relevant SSA Guidelines: It is our belief that [Claimant's Name]'s denial did not sufficiently consider the guidelines outlined by the SSA in making disability determinations. These guidelines clearly specify the factors to be considered, including medical evidence, functional limitations, and vocational factors. We urge you to review the denial decision in light of these guidelines, ensuring a fair and accurate evaluation of [Claimant's Name]'s eligibility for benefits. We kindly request a thorough review of the denial decision made in [Date of Denial]. Furthermore, we understand the appeals process and are fully committed to providing any additional documentation or information required to support our case. Furthermore, we also request an opportunity for [Claimant's Name] or their representative to present their case before an Administrative Law Judge, either in person or via telephone conference. Please inform us of the steps we need to take, any additional documents required, and the deadline for filing the appeal. Our aim is to rectify any misunderstandings or oversights in order to ensure that [Claimant's Name] receives the Social Security benefits they are entitled to. Thank you for your attention to this matter. We look forward to your prompt response and a fair reconsideration of [Claimant's Name]'s eligibility for Social Security benefits. Sincerely, [Your Name]
Illinois Sample Letter Disputing Denial of Social Security Benefits
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The fastest and easiest way to request an appeal is to submit a request online, but appeal forms are also available for download at .ssa.gov/forms. You can also call our toll-free number, 1-800-772-1213 (TTY 1-800-325-0778), or contact your local Social Security office to request appeal forms.
Here are some tips for writing an effective disability appeal letter: Indicate Your Name and Claim Number at the Top. ... Point Out Any Mistakes or Oversights. ... Supply Missing Medical Information. ... Attach Medical Records or Any Additional Evidence. ... Stick to the Point. ... Be as Detailed as Possible. ... Be Polite and Professional.
(b) Examples of circumstances where good cause may exist include, but are not limited to, the following situations: (1) You were seriously ill and were prevented from contacting us in person, in writing, or through a friend, relative, or other person. (2) There was a death or serious illness in your immediate family.
Although there is only a 1 in 10 chance that you will win at reconsideration, it is a necessary step in the appeals process and, at the very least, sets the stage for an administrative hearing, where the approval rating increases to roughly 45%.
If your reconsideration is approved, Social Security will contact you to start payments. If you do not agree with the decision made on your reconsideration, you can request an Administrative Law Judge hearing.
A clerical mistake or a misunderstanding about your qualifications are good reasons to request a reconsideration. State the facts: You can write to someone who you believe can help reconsider your case, but they may not be familiar with the circumstances before you reach out to them.
Ing to the Social Security Administration (SSA), approximately 35 percent of disability appeals are approved for both Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI).
The reconsideration is the second phase in the disability determination process and generally takes between one and three months. If you are denied after submitting your initial disability application and file an appeal within 60-days of receiving your denial letter, the next phase is called the reconsideration phase.
