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] [Appeals Office] [Address] [City, State, ZIP] Subject: Notification of Representation in an Appeal for Disability Benefits Dear Sir/Madam, I am writing to formally notify you that I am representing [Client's Full Name], who is currently pursuing an appeal for disability benefits. [Client's Full Name] is a resident of North Carolina and is seeking representation in their disability benefits appeal. I have been retained by [Client's Full Name] to assist with their appeal, as they believe their denial of disability benefits was unjust and erroneous. As their authorized representative, I will be handling all communication and paperwork related to this appeal process on their behalf. [Client's Full Name] is suffering from a severe disability that greatly impairs their ability to work and maintain a sustainable income. This disability is preventing them from engaging in substantial gainful activity, as defined by the Social Security Administration (SSA) guidelines, and has had a significant impact on their overall quality of life. I have carefully reviewed their case file and firmly believe that there were errors in the initial determination of their eligibility for disability benefits. [Client's Full Name] has provided substantial medical evidence supporting their disability claim, including documentation from healthcare professionals, medical records, and diagnostic test results. It is my intention to thoroughly examine all aspects of their case, ensuring that all relevant medical and vocational evidence is presented to support their claim for disability benefits. I will work diligently to gather additional evidence, if necessary, to present a strong and compelling argument during the appeal process. I kindly request access to all necessary documentation, including the complete case file, medical records, and any other relevant information pertaining to [Client's Full Name]'s disability claim. Additionally, I ask that all future correspondence, notices, and updates regarding the appeal be directed to me at the contact information listed above. I appreciate the opportunity to represent [Client's Full Name] and assist them in their pursuit of the disability benefits they rightfully deserve. I am confident that, with a fair and thorough review of their case, the denial will be reconsidered and reversed. Please acknowledge receipt of this letter and confirm our representation by sending a notification to the provided contact information at your earliest convenience. Thank you for your attention to this matter, and I look forward to working cooperatively with the SSA to ensure a fair and just resolution to this appeal process. Sincerely, [Your Name] [Your Title] [Law Firm or Organization Name]
[Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Social Security Administration] [Appeals Office] [Address] [City, State, ZIP] Subject: Notification of Representation in an Appeal for Disability Benefits Dear Sir/Madam, I am writing to formally notify you that I am representing [Client's Full Name], who is currently pursuing an appeal for disability benefits. [Client's Full Name] is a resident of North Carolina and is seeking representation in their disability benefits appeal. I have been retained by [Client's Full Name] to assist with their appeal, as they believe their denial of disability benefits was unjust and erroneous. As their authorized representative, I will be handling all communication and paperwork related to this appeal process on their behalf. [Client's Full Name] is suffering from a severe disability that greatly impairs their ability to work and maintain a sustainable income. This disability is preventing them from engaging in substantial gainful activity, as defined by the Social Security Administration (SSA) guidelines, and has had a significant impact on their overall quality of life. I have carefully reviewed their case file and firmly believe that there were errors in the initial determination of their eligibility for disability benefits. [Client's Full Name] has provided substantial medical evidence supporting their disability claim, including documentation from healthcare professionals, medical records, and diagnostic test results. It is my intention to thoroughly examine all aspects of their case, ensuring that all relevant medical and vocational evidence is presented to support their claim for disability benefits. I will work diligently to gather additional evidence, if necessary, to present a strong and compelling argument during the appeal process. I kindly request access to all necessary documentation, including the complete case file, medical records, and any other relevant information pertaining to [Client's Full Name]'s disability claim. Additionally, I ask that all future correspondence, notices, and updates regarding the appeal be directed to me at the contact information listed above. I appreciate the opportunity to represent [Client's Full Name] and assist them in their pursuit of the disability benefits they rightfully deserve. I am confident that, with a fair and thorough review of their case, the denial will be reconsidered and reversed. Please acknowledge receipt of this letter and confirm our representation by sending a notification to the provided contact information at your earliest convenience. Thank you for your attention to this matter, and I look forward to working cooperatively with the SSA to ensure a fair and just resolution to this appeal process. Sincerely, [Your Name] [Your Title] [Law Firm or Organization Name]