Prepare on SSA-L951-C2/U2

Social Security Notice

We have considered your application under the disability provisions of the Social Security Act. A period of disability has been established for you beginning (date) and ending (date) . The evidence in your case shows that your condition was no longer disabling two months prior to the ending date indicated; however, the law provides that a person's period of disability will continue for the month disability ends and the following two months.

To be considered disabled for Social Security purposes, a person must be unable to engage in any substantial gainful activity due to a medical condition which has lasted or can be expected to last for a continuous period of at least 12 months. His impairment must be so severe as to prevent him from engaging not only at his usual occupation but at any other substantial gainful work considering his previous training and work experience.

OPTION - State M.D.

The decision on your claim was made by the Social Security Administration (not your personal physician) on the basis of a disability determination by an agency of the State in which you live. Physicians and other trained disability evaluation personnel in the State agency participate in making such determinations.

OPTION - Non-State M.D.

Physicians and other trained disability evaluation personnel participated in this decision.

Establishment of a period of disability helps protect your future benefit rights. Any benefit rights of your dependents and survivors are also protected.

A person whose period of disability has ended can establish another period of disability if he meets the requirements of the law. Therefore, if your medical condition again prevents you from doing any substantial gainful work, you should contact any Social Security office.

If you believe that this determination is not correct, you may request that your case be reexamined. If you want this reconsideration, you must request it not later than 60 days from the date you receive this notice. You may make your request through any Social Security office. If additional evidence is available, you should submit it with your request.

If you do not request reconsideration of your case within the prescribed time period, you still have the right to file another application at any time.

If you have any questions about your claim, you should get in touch with any Social Security office. Most questions can be handled by telephone or mail. If you visit an office, however, please take this letter with you.