Chicago Illinois Sample Letter for Notification of Representation in an Appeal for Disability Benefits

• Category: Letters - Legal - Appeals
• State: Multi-State
• City: Chicago
• 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 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 this letter to officially notify the Social Security Administration (SSA) about my representation in an appeal for disability benefits on behalf of my client, [Client's Full Name]. [Client's Full Name] is a resident of Chicago, Illinois and has been unable to work due to a severe medical condition that meets the criteria for disability as defined by the SSA. We firmly believe that his/her condition prevents him/her from engaging in substantial gainful activity and, therefore, qualifies for Social Security Disability Insurance (SDI) or Supplemental Security Income (SSI) benefits. As an experienced attorney specializing in disability law, I have reviewed [Client's Full Name] medical records, including the diagnosis, treatment history, and supporting documentation from relevant healthcare providers. Based on this information, it is evident that [Client's Full Name] meets the SSA's criteria for disability. This letter serves as formal notice of [Client's Full Name]'s decision to appoint me as his/her legal representative regarding his/her appeal for disability benefits. Please make sure to update your records accordingly and direct all future correspondence and communication relating to this matter to me. Enclosed with this letter, you will find the necessary completed forms, such as Form SSA-1696 (Appointment of Representative) and Form SSA-827 (Authorization to Disclose Information to the Social Security Administration). I kindly request you to process these forms promptly and acknowledge receipt. I am committed to providing the required legal assistance to ensure a successful outcome for my client. Furthermore, I kindly request that you keep me informed of any updates, including the date of the scheduled hearing, so that I can adequately prepare for proceedings. Please find attached all relevant medical and supporting documentation that substantiate [Client's Full Name]'s disability claim and demonstrate the severity of his/her condition. I trust that these records will assist in expediting the decision-making process. Should you require any additional information, please do not hesitate to contact me directly via the contact details provided in the header of this letter. Thank you for your attention to this matter. I look forward to working collaboratively with the SSA to ensure a fair and just resolution for my client. Sincerely, [Your Name] [Your Legal Firm Name, if applicable]

[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 this letter to officially notify the Social Security Administration (SSA) about my representation in an appeal for disability benefits on behalf of my client, [Client's Full Name]. [Client's Full Name] is a resident of Chicago, Illinois and has been unable to work due to a severe medical condition that meets the criteria for disability as defined by the SSA. We firmly believe that his/her condition prevents him/her from engaging in substantial gainful activity and, therefore, qualifies for Social Security Disability Insurance (SDI) or Supplemental Security Income (SSI) benefits. As an experienced attorney specializing in disability law, I have reviewed [Client's Full Name] medical records, including the diagnosis, treatment history, and supporting documentation from relevant healthcare providers. Based on this information, it is evident that [Client's Full Name] meets the SSA's criteria for disability. This letter serves as formal notice of [Client's Full Name]'s decision to appoint me as his/her legal representative regarding his/her appeal for disability benefits. Please make sure to update your records accordingly and direct all future correspondence and communication relating to this matter to me. Enclosed with this letter, you will find the necessary completed forms, such as Form SSA-1696 (Appointment of Representative) and Form SSA-827 (Authorization to Disclose Information to the Social Security Administration). I kindly request you to process these forms promptly and acknowledge receipt. I am committed to providing the required legal assistance to ensure a successful outcome for my client. Furthermore, I kindly request that you keep me informed of any updates, including the date of the scheduled hearing, so that I can adequately prepare for proceedings. Please find attached all relevant medical and supporting documentation that substantiate [Client's Full Name]'s disability claim and demonstrate the severity of his/her condition. I trust that these records will assist in expediting the decision-making process. Should you require any additional information, please do not hesitate to contact me directly via the contact details provided in the header of this letter. Thank you for your attention to this matter. I look forward to working collaboratively with the SSA to ensure a fair and just resolution for my client. Sincerely, [Your Name] [Your Legal Firm Name, if applicable]