Social Security Notice 
          
                                                     Date:
                                                     Claim Number:
          
         The law provides that an individual's disability freeze shall end if the person becomes
            able to do substantial gainful work. The law also provides that an individual's freeze
            period will continue for the month disability ends and the following 2 months. Information
            is needed to determine whether you are still under a disability.
         
         Although you have been requested to (1) furnish the required information, it has not
            been submitted; (2) take a medical examination at our expense, you have not complied
            with our request. Therefore, we have determined that your disability ended in        . Accordingly, the last month of your disability freeze is          .
         
         If at any time in the future you qualify for a retirement insurance benefit under
            the Social Security Act, the time during which you have been under a disability freeze
            will not be counted against you in determining the amount of your benefit. This protection
            also applies to any other benefit claim which may be filed on your Social Security
            record.
         
         (3) The law permits an individual to start drawing retirement insurance benefits at
            a reduced rate as early as age 62. For more information, please get in touch with
            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 this request through any
            Social Security office. If additional evidence is available, you should submit it
            with your request. Please read the enclosed leaflet for a full explanation of your
            right to question the determination made on your claim.
         
         If you have any questions about your claim, you should get in touch with any Social
            Security office. If you call in person, please take this notice with you.
         
         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 no later than
            60 days from the date you receive this notice. You may make this request through any
            Social Security office. If additional evidence is available, you should submit it
            with your request.