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] [Name of Social Security Administration Office] [Address] [City, State, ZIP] Subject: Sample Letter for Guardianship relating Social Security Income and Medicaid Benefits Dear [Name of Social Security Administration Office], I am writing to provide you with a comprehensive description of the guardianship circumstances involving [Name of the Beneficiary], a resident of the state of Missouri, and their eligibility for Social Security Income (SSI) and Medicaid benefits. As a court-appointed guardian for [Name of the Beneficiary], I hope to clarify their situation and ensure the continuation of the necessary assistance they receive. 1. Description of the Guardianship Arrangement: [Name of the Beneficiary], born on [Date of Birth] and residing at [Residential Address], is a vulnerable individual with [physical/mental disabilities, if applicable]. The court has appointed me as their legal guardian effective [Date of Guardianship Order], granting me the authority and responsibility to make decisions related to their health, welfare, and financial affairs. 2. Introduction to the Beneficiary's Current Benefits: Prior to guardianship, [Name of the Beneficiary] was receiving [Specify the type of SSI benefits received — e.g., Supplemental Security Income (SSI) as an adult or Disabled Adult Child benefits (DAC)]. They were also enrolled in [Specify the type of Medicaid benefits received — e.g., MO HealthNet (Missouri Medicaid)]. 3. Change in Guardianship Status: Since [Date of Guardianship Order], when I was appointed as the guardian, it became necessary to update the beneficiary's records and ensure continued eligibility for SSI and Medicaid benefits. I am writing this letter to notify you of the guardianship arrangement and request the necessary steps to be taken for a smooth transition. 4. Required Action Steps: Based on the Social Security Administration guidelines, it is imperative to update all relevant records with the new guardianship information. I kindly request the following actions to be completed: a. Update Beneficiary's Records: Please update [Name of the Beneficiary]'s files to reflect the guardianship arrangement, with myself as the appointed legal guardian. This includes updating the mailing address for all correspondence related to SSI and Medicaid. b. Confirmation of Ongoing Benefits: As the beneficiary's guardian, I want to ensure that their SSI and Medicaid benefits continue uninterrupted. Kindly confirm that the benefits will be maintained and outline any additional information or documentation required. c. Guidance and Information: If there are any specific forms, documents, or procedures that need to be completed, kindly provide me with the necessary details. I would appreciate any guidance or assistance you may offer in this matter. 5. Contact Information: If you require any further information or need to discuss this matter in detail, please do not hesitate to contact me at the phone number or email address provided above. I would greatly appreciate your prompt attention to this request, as it directly affects the well-being and essential support for [Name of the Beneficiary]. Thank you for your understanding and cooperation in this matter. I am available for any additional information or documentation required to facilitate the process. Your assistance will help ensure the smooth continuation of [Name of the Beneficiary]'s Social Security Income and Medicaid benefits. Sincerely, [Your Name] [Your Role/Title as Guardian]
[Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Name of Social Security Administration Office] [Address] [City, State, ZIP] Subject: Sample Letter for Guardianship relating Social Security Income and Medicaid Benefits Dear [Name of Social Security Administration Office], I am writing to provide you with a comprehensive description of the guardianship circumstances involving [Name of the Beneficiary], a resident of the state of Missouri, and their eligibility for Social Security Income (SSI) and Medicaid benefits. As a court-appointed guardian for [Name of the Beneficiary], I hope to clarify their situation and ensure the continuation of the necessary assistance they receive. 1. Description of the Guardianship Arrangement: [Name of the Beneficiary], born on [Date of Birth] and residing at [Residential Address], is a vulnerable individual with [physical/mental disabilities, if applicable]. The court has appointed me as their legal guardian effective [Date of Guardianship Order], granting me the authority and responsibility to make decisions related to their health, welfare, and financial affairs. 2. Introduction to the Beneficiary's Current Benefits: Prior to guardianship, [Name of the Beneficiary] was receiving [Specify the type of SSI benefits received — e.g., Supplemental Security Income (SSI) as an adult or Disabled Adult Child benefits (DAC)]. They were also enrolled in [Specify the type of Medicaid benefits received — e.g., MO HealthNet (Missouri Medicaid)]. 3. Change in Guardianship Status: Since [Date of Guardianship Order], when I was appointed as the guardian, it became necessary to update the beneficiary's records and ensure continued eligibility for SSI and Medicaid benefits. I am writing this letter to notify you of the guardianship arrangement and request the necessary steps to be taken for a smooth transition. 4. Required Action Steps: Based on the Social Security Administration guidelines, it is imperative to update all relevant records with the new guardianship information. I kindly request the following actions to be completed: a. Update Beneficiary's Records: Please update [Name of the Beneficiary]'s files to reflect the guardianship arrangement, with myself as the appointed legal guardian. This includes updating the mailing address for all correspondence related to SSI and Medicaid. b. Confirmation of Ongoing Benefits: As the beneficiary's guardian, I want to ensure that their SSI and Medicaid benefits continue uninterrupted. Kindly confirm that the benefits will be maintained and outline any additional information or documentation required. c. Guidance and Information: If there are any specific forms, documents, or procedures that need to be completed, kindly provide me with the necessary details. I would appreciate any guidance or assistance you may offer in this matter. 5. Contact Information: If you require any further information or need to discuss this matter in detail, please do not hesitate to contact me at the phone number or email address provided above. I would greatly appreciate your prompt attention to this request, as it directly affects the well-being and essential support for [Name of the Beneficiary]. Thank you for your understanding and cooperation in this matter. I am available for any additional information or documentation required to facilitate the process. Your assistance will help ensure the smooth continuation of [Name of the Beneficiary]'s Social Security Income and Medicaid benefits. Sincerely, [Your Name] [Your Role/Title as Guardian]