DI 27025: Personalized Reconsideration Disability Explanations
TN 2 (05-10)
A. Basic tests of personalized explanations
Personalized explanations sent to the claimant and or beneficiary must meet two basic tests. They should:
be legally sufficient; and
not be offensive in any way.
The first test is met by following the instructions contained in this chapter for preparation of personalized explanations. The second test involves what is said and how it is said and is met by avoiding the use of:
abbreviations
acronyms,
jargon,
technical terms; and
complex medical phrases
The information provided must be:
relevant,
concise; and
meaningful.
The DDS examiner must be sensitive to the claimant and beneficiary's feelings and information in the personalized explanations must not denigrate these feelings and needs in any manner.
NOTE: The personalized explanation is written in the third person when it is to a person filing on behalf of a claimant, or if the claimant has died after filing. Dates may be abbreviated numerically (e.g., 12/14/09), if necessary, to save space.
B. Clarity of personalized explanations
In addition to meeting the two basic tests, it is equally important that the personalized explanation be written as simply and clearly as possible, i.e., understandable to anyone with at least a 6th grade education. Proper use of the English language is also important to avoid conveying an unintended negative message to the claimant and beneficiary.
Poorly written notices can have a significant impact on SSA and impair our ability to serve the public interest
C. Impairments addressed
The personalized explanation should address alleged impairments and other impairments which are discovered during the course of the evaluation provided that the impairments are known by the claimant. Numerous closely related impairments may be grouped by body system.
D. Specific case instructions
For instructions on notice and personalized explanations for specific case situations (e.g., prisoner cases), see the appropriate subchapters in DI 23500.000.