DI 23501: Prisoner Cases
BASIC (01-09)
A. Chart
For complete notice instructions see DI 26535.000 – Notice Instructions. Use the chart below to determine the appropriate prisoner model letter or rider.
Alleged Impairment |
Disability Insurance Benefit (DIB) Case |
Disabled Widow(er) Benefit (DWB) Case or Childhood Disability Benefit (CDB) Case |
|---|---|---|
Felony-related impairment only |
Prisoner model letter “S” |
Prisoner model letter “S” |
Felony-related and non-felony-related impairments |
Appropriate denial letter and prisoner model rider “W” |
Appropriate denial letter and prisoner model rider “W” |
Confinement-related impairment only |
Prisoner model letter “U” |
Prisoner model letter “V” (Fill in “disabled widow(er) benefits” or “childhood disability benefits”) |
Confinement-related and non-confinement-related impairments |
Prisoner model letter “U” |
Appropriate denial letter and prisoner model rider “X” |
B. References
NL 00705.520 - Prisoner Model Letter “S” – Felony Related Impairment – DIB, DWB, CDB
NL 00705.530 - Prisoner Model Letter “U” – Incarceration Related Impairment – DIB Freeze Established
NL 00705.535 - Prisoner Model Letter “V” – Incarceration Related Impairment – CDB, DWB
NL 00705.540 - Prisoner Model Letter “W” – Felony and Non-Felony Related Impairments – DIB, CDB, DWB
NL 00705.545 - Prisoner Model Rider “X” – Incarceration and Non-Incarceration Related Impairment – CDB, DWB
NOTE: A personalized disability notice (PDN) is needed with Model Letters S, U, and V.