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 Code] [Email Address] [Phone Number] [Date] [Social Security Administration Office] [Address] [City, State, ZIP Code] Subject: Notification of Representation in an Appeal for Disability Benefits Dear Sir/Madam, I am writing to inform you that I, [Your Name], am I representing [Beneficiary's Name] in their appeal for disability benefits. [Beneficiary's Name] is a resident of [City, State] and has been facing physical or mental health challenges that substantially limit their ability to engage in gainful employment. I understand that [Beneficiary's Name]'s original application for disability benefits was denied, and they have chosen to exercise their right to appeal this decision. As a seasoned disability benefits advocate, I wanted to formally notify you of my representation and intention to assist [Beneficiary's Name] throughout the appeal process. I am well-versed in the complex regulations and guidelines pertaining to disability benefits in New Jersey. Having successfully represented numerous claimants in similar cases, I have developed a comprehensive understanding of the system and am committed to ensuring equal access to justice for individuals with disabilities. In this matter, I will diligently gather and submit all necessary medical records, witness statements, and other supporting documentation required to present a robust case on behalf of [Beneficiary's Name]. I will also make sure to closely monitor the progress of the appeal and maintain regular communication with your office, promptly addressing any additional information or requirements that may arise. Enclosed with this letter, please find a signed and dated Form SSA-1696 Appointment of Representative document, which authorizes my representation of [Beneficiary's Name]. I kindly request you to acknowledge receipt of this letter and the attached form by returning a copy to me at the address mentioned above. If there are any specific forms, deadlines, or procedures that I should be aware of regarding this appeal, please provide me with that information without delay. I want to ensure that all necessary actions are taken promptly and accurately to support our collective goal of achieving a favorable outcome for [Beneficiary's Name]. I look forward to working collaboratively with your office to navigate the appeal process and advocate for the rights and entitlements of [Beneficiary's Name]. Should you have any questions or require additional information, please do not hesitate to contact me at the provided contact details. Thank you for your attention to this matter, and I trust that, together, we can resolve this appeal effectively and efficiently. Yours sincerely, [Your Name]
[Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] [Social Security Administration Office] [Address] [City, State, ZIP Code] Subject: Notification of Representation in an Appeal for Disability Benefits Dear Sir/Madam, I am writing to inform you that I, [Your Name], am I representing [Beneficiary's Name] in their appeal for disability benefits. [Beneficiary's Name] is a resident of [City, State] and has been facing physical or mental health challenges that substantially limit their ability to engage in gainful employment. I understand that [Beneficiary's Name]'s original application for disability benefits was denied, and they have chosen to exercise their right to appeal this decision. As a seasoned disability benefits advocate, I wanted to formally notify you of my representation and intention to assist [Beneficiary's Name] throughout the appeal process. I am well-versed in the complex regulations and guidelines pertaining to disability benefits in New Jersey. Having successfully represented numerous claimants in similar cases, I have developed a comprehensive understanding of the system and am committed to ensuring equal access to justice for individuals with disabilities. In this matter, I will diligently gather and submit all necessary medical records, witness statements, and other supporting documentation required to present a robust case on behalf of [Beneficiary's Name]. I will also make sure to closely monitor the progress of the appeal and maintain regular communication with your office, promptly addressing any additional information or requirements that may arise. Enclosed with this letter, please find a signed and dated Form SSA-1696 Appointment of Representative document, which authorizes my representation of [Beneficiary's Name]. I kindly request you to acknowledge receipt of this letter and the attached form by returning a copy to me at the address mentioned above. If there are any specific forms, deadlines, or procedures that I should be aware of regarding this appeal, please provide me with that information without delay. I want to ensure that all necessary actions are taken promptly and accurately to support our collective goal of achieving a favorable outcome for [Beneficiary's Name]. I look forward to working collaboratively with your office to navigate the appeal process and advocate for the rights and entitlements of [Beneficiary's Name]. Should you have any questions or require additional information, please do not hesitate to contact me at the provided contact details. Thank you for your attention to this matter, and I trust that, together, we can resolve this appeal effectively and efficiently. Yours sincerely, [Your Name]