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Social Security Disability (SSD) Application: What Can I Expect

The process can be daunting even when you are at your best. Now, when maybe some days you're unable to get out of bed in the morning, you have to begin your Social Security Disability Application. Many people consider taking on this process themselves before they call an accredited Social Security Representative or Lawyer. This is what you might expect:

The initial application process is actually more than one application. You will need to fill out a Disability Report, form SSA3368, and sign multiple copies of form SSA827, Authorization to Disclose Information to the SSA: Some people do this on line, others by telephone/mail, and some go in and fill it out with the help with a Social Security representative. The process requires completion of multiple forms, and you will be wise to be prepared with information concerning your doctors and other medical treatments. Even if you see a doctor for something you don't think is related to your disability, it may benefit you to be certain that the Social Security Administration is aware of the impairment and your treatment. You will also need to provide your work history for the past 15 years, a list of the medications you are taking, as well as explanations of your symptoms and diagnoses. If this is an SSI claim, otherwise known as Supplemental Security Income benefits, be prepared to be asked about your financial picture

 
 
People often ask the best method to apply. The Social Security Administration prefers an online application at www.ssa.gov . At this time only Social Security Disability (SSD) and not Supplemental Security Income (SSI) can be on line. Also, there are a limited number of times you can go back into the site before your application is lost so you'll want to make sure you have everything ready and a fairly good block of time to complete it. Some persons are just not comfortable putting their information out there in cyberspace. However, the Social Security Administration is doing more of their business on line and much of your vital information is already in their computer system. I'm convinced the old method of paper files created a number of other problems in addition to the security breach they also posed.
 
If you chose to go into your local Social Security office to do your application, you may want to call for an appointment. To schedule for an in-person Social Security Disability application, or an appeal you can call their toll free number at 1-800-772-1213. This may be helpful for someone who is illiterate or blind. Certainly someone with a compromised immune system may not wish to be in a highly public area. The Social Security office may be located in an area that you will have to pay for parking, often a downtown location where it can be rather expensive to someone who is without an income. Unforeseen lengthy wait times sometimes happen even with an appointment.

If a person does not have the computer access or skills, or wishes to avoid a face-to-face application, they may call and ask that the application be mailed to them and schedule an appointment by telephone In consideration of others, it would be appreciated that you not appear in person if you have a communicable disease or illness. If you have difficulty holding a phone, or hearing on a phone you may want to forgo any thought of this method. If your disability is due to loss of use of you upper extremities, such as carpal tunnel syndrome, thoracic or cervical (neck) disorders, you may want to consider that you will be on the telephone for some time.


Having completed this process, Social Security will begin consideration of your claim. In fact do not expect to speak with the decision maker, but be aware that every person you talk with and or reads your file my put in information that could potentially help or hurt your claim. The wait time until you get a decision of whether or not your claim is accepted varies greatly from region to region as well as what other things are going on in Washington, the number of applications, the state of the budget, or any number of situations. In the greater Rochester Area, I'd say over the past twenty years is has usually taken between three to six months to get an answer. You may be surprised to learn you've won your claim when you find some unexpected money suddenly appear in a bank account. I'm getting ahead of myself here. While waiting for a decision from your application, you may or may not be sent for a consultative exam by an independent doctor; one the Administration has chosen and paid for. You may actually see more than one doctor such as a psychiatrist and a medical doctor if your condition merits it. You can also expect to receive a packet requesting information about your activities of daily living and another packet requesting information about the work you did and the specifics involved how that work was performed. If your doctors are not responding to Social Security's requests for records and/or medical opinion about your condition, you will likely receive a letter letting you know that also. Upon receiving such notification you may want to call that doctors office and ask them to respond quickly.

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If you are denied, you have 60 days, plus five days for mailing to appeal. Please note holiday and weekend days are counted in that 60 days and don't forget that some months have 31 days. In some areas of the country a Request for Reconsideration, form SSA 561 is required. Other areas currently skip this step altogether, although there have been rumors that it may be reinstated everywhere, and a Request for Hearing by Administrative Law Judge, form HA-501-U5, is completed.

In the following weeks, you can expect to get a letter explaining a little about the hearing process. A confusing part in this letter seems to be the explanation that Social Security will let you know 20 days in advance of a scheduled hearing; I frequently get calls from claimant's who believe that there hearing will be in 20 days. The time it takes to get your hearing date depends on Social Security's backlog. On June 20, 2011 Social Security issued a press release reporting that in May 2011 the average processing time for a hearing decision was less than 354 days, while in August 2008 the averaged wait time peaked at 532 days. (Note: they also reported 130,000 more hearing requests in 2010 than in 2008.)

You finally get your hearing date! Maybe someone has filled you in on what will happen at a hearing, what to wear, what to bring, etc. You believe that you see the light at the end of this tunnel and you will at least have a definitive answer. No. Few Judges will give you an answer the day of your hearing. You again, do what Social Security seems to be best at doing – making you wait. Again, the times vary but usually within a few weeks you get your decision. Of course, you want it to be favorable, and if it is you will likely get some money within the next two months, possibly within weeks.

*The Social Security Administration is working toward the elimination of their sending out paper checks. In the future, those that do not have a bank account for direct deposit will be issued a debit card.

You will receive your back due benefits, that is, the benefits that you should have been collecting monthly during the time that you waited for a decision. Be aware that you will not receive benefits for the first five months of disability regardless of your condition, if this claim is for SSD. If you did not file for benefits immediately after you stopped work, you can collect up to a full year's worth of benefits before application. This means you can be out of work due to total disability for up to almost a year and a half before you start losing money. SSI is based on the date of application, so you will want to file immediately if you are entitled to SSI.

You may be asking, "But, what if I lose?" The next level in this process would be a written appeal to the Appeals Council. This is a request that the decision be reviewed because you believe that the Judge made an error. Keeping in mind that if the Judge's opinion of disability does on coincide with yours, he may have applied all the correct standards and your decision will be upheld. Appeals Council may also reverse the decision, or remand it back for another hearing. You do not appear before the Appeals Council. Of note the vast majority of Appeals Council decisions uphold the Administrative Law Judge's decision. There are additional levels of appeals that get progressively more and more complex and begin to require filing fees.

 

 

DO I NEED A LAWYER OR REPRESENTATIVE?

The best course is to have competent representation before going into a hearing. Better yet, speak with me before you even apply. Yes, you may know someone who won "on their own", without representation. The price of losing because of ignorance far exceeds the expense of winning because your representative knew the pitfalls. In fact, in most situations, I work for free unless you win. My fee is based on what you get paid, and has to be approved by the Social Security Administration, so you aren't surprised. Generally the amount is 25% of your back due benefit, or less, as the government sets a fee cap should you receive a very large amount of retroactive benefits. Currently, the cap is such that you do not fees for anything you receive over $24,000.00.

There is no charge for a consultation. I can help you sort through some of the tough decisions. There may be a best time to apply, or factors that need to be addressed before you start. You may not know if you would not be eligible, or you may think you are and lack some very basic criteria to be entitled to benefits.

 
 
I want my clients to work and focus on their health. I tell them to let me worry about the case. Of course, it may be unrealistic because of the financial burdens of losing an income, increased medical expenses, and simply adapting to different ways of doing things with a disability. I'll do your paperwork, review your files, prepare you case to give it the best possible chance of winning as quickly as feasible. More importantly, I will answer your questions and guide you through the process. Even after your case is won and you've been paid. I welcome those occasional questions that sometimes come years later.

Bottom line:  I'm here to help you.

 

 

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