Basic (03-86)
DI 11010.500 Claimant Prefers to Personally Request Evidence
When a claimant prefers to deal personally with a medical source, have the claimant
complete an SSA-827 authorization form. Also, complete a medical report form, as appropriate,
for the medical source.
Give the claimant a stamped preaddressed envelope for the DDS. In this way the medical
source can mail the medical report directly to the DDS. Tell the claimant that in
these cases, SSA will pay a reasonable fee for existing medical records from a non-Federal
source, if a fee is charged for these records, but not for examinations or tests on
which the evidence is based. This applies to both title II and title XVI cases.