Kansas Sample Letter for Notification of Representation in an Appeal for Disability Benefits

• Category: Letters - Legal - Appeals
• State: Multi-State
• Control #: US-0957LTR
• Format: Word; Rich Text

Description

This form is a sample letter in Word format covering the subject matter of the title of the form. [Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Social Security Administration Office] [Address] [City, State, ZIP] Subject: Notification of Representation in an Appeal for Disability Benefits — [Claimant's Name], [Claimant's Social Security Number] Dear [Social Security Administration Office], I am writing to inform you that I am now representing [Claimant's Name] in their appeal for disability benefits. Please consider this letter as an official notification of my representation on behalf of [Claimant's Name], regarding their disability claim. Claimant Details: — Name: [Claimant's Name— - Social Security Number: [Claimant's Social Security Number] — Date of Birth: [Claimant's Date of Birth] I have been retained by [Claimant's Name] to provide legal representation throughout the disability benefits appeals process outlined by the Social Security Administration. I kindly request that all future correspondence, notices, and documents related to this case be directed to me at the provided address or email. By representing [Claimant's Name], my primary goal is to assist them in receiving the disability benefits they rightfully deserve. I will diligently work towards ensuring that all necessary forms, medical records, and supporting documentation are submitted in a timely and accurate manner. I would appreciate any assistance you can provide in promptly providing the necessary documentation associated with this case. This includes, but is not limited to, claim files, medical records, and any additional records relevant to [Claimant's Name]'s disability claim. Furthermore, I request your cooperation in scheduling any necessary conferences, hearings, or appointments related to this appeal. Please notify me of any upcoming deadlines or important dates concerning this case to ensure no opportunities are missed. Please find attached the signed authorization from [Claimant's Name] granting me permission to act as their representative in this matter. The signed Form SSA-1696 "Appointment of Representative" should serve as evidence of my official representation. I kindly request that you acknowledge receipt of this letter and confirm my representation status within a reasonable timeframe. Additionally, please include your contact information and any specific instructions for proceeding with this appeal. Thank you for your prompt attention to this matter. I am confident that with my representation and collaboration with the Social Security Administration Office, we can navigate through this appeals process effectively and efficiently. Should you require any further information or documents, please do not hesitate to contact me at the provided phone number or email address. I appreciate your cooperation and look forward to working with you on this important matter. Yours sincerely, [Your Name]

[Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Social Security Administration Office] [Address] [City, State, ZIP] Subject: Notification of Representation in an Appeal for Disability Benefits — [Claimant's Name], [Claimant's Social Security Number] Dear [Social Security Administration Office], I am writing to inform you that I am now representing [Claimant's Name] in their appeal for disability benefits. Please consider this letter as an official notification of my representation on behalf of [Claimant's Name], regarding their disability claim. Claimant Details: — Name: [Claimant's Name— - Social Security Number: [Claimant's Social Security Number] — Date of Birth: [Claimant's Date of Birth] I have been retained by [Claimant's Name] to provide legal representation throughout the disability benefits appeals process outlined by the Social Security Administration. I kindly request that all future correspondence, notices, and documents related to this case be directed to me at the provided address or email. By representing [Claimant's Name], my primary goal is to assist them in receiving the disability benefits they rightfully deserve. I will diligently work towards ensuring that all necessary forms, medical records, and supporting documentation are submitted in a timely and accurate manner. I would appreciate any assistance you can provide in promptly providing the necessary documentation associated with this case. This includes, but is not limited to, claim files, medical records, and any additional records relevant to [Claimant's Name]'s disability claim. Furthermore, I request your cooperation in scheduling any necessary conferences, hearings, or appointments related to this appeal. Please notify me of any upcoming deadlines or important dates concerning this case to ensure no opportunities are missed. Please find attached the signed authorization from [Claimant's Name] granting me permission to act as their representative in this matter. The signed Form SSA-1696 "Appointment of Representative" should serve as evidence of my official representation. I kindly request that you acknowledge receipt of this letter and confirm my representation status within a reasonable timeframe. Additionally, please include your contact information and any specific instructions for proceeding with this appeal. Thank you for your prompt attention to this matter. I am confident that with my representation and collaboration with the Social Security Administration Office, we can navigate through this appeals process effectively and efficiently. Should you require any further information or documents, please do not hesitate to contact me at the provided phone number or email address. I appreciate your cooperation and look forward to working with you on this important matter. Yours sincerely, [Your Name]