TN 23 (12-17)
NL 00725.185 “DAA” UTIs – Drug Addiction and Alcoholism
About (1) Disability
Fill-in:
(1) “Your”/“Her”/“His”
(1) Must Go For Required Treatment
Fill-in:
(1) “You”/“She”/“He”
DAA001 DAA – Award Notice – Reason for Disability is Drug Addiction, Alcoholism or Both
Because (1) a contributing factor material to (2) disability, the law says that:
(3) must go for treatment for (4) (5) when it is available, and make progress in (6) treatment or (7) payments will be stopped, and
(8) can get payments for a total of only 36 months in which treatment is available to
(9) , and
If we must stop (10) payments for 12 months in a row because (11) not go for the required treatment or (12) not make progress in (13) treatment, (14) entitlement to benefits will end the next month. In order to receive benefits again,
(15) will have to file a new application, and
an organization or person, called a representative payee, must receive (16) payments for (17) . It will be (18) payee's duty to manage (19) payments and see that (20) needs are met, and
If we owe (21) for past months, we cannot pay all of the back payments in one lump sum. Instead,
we must pay this money over a period of months. The total amount we can pay each month
cannot be more than two times (22) regular monthly payment amount. By total amount we mean (23) monthly payment and any back payment we are paying (24) .
Fill-ins:
(1) “drug addiction is”/“alcoholism is”/“drug addiction and alcoholism are”
(2) “your”/“her”/“his”
(3) “you”/“she”/“he”
(4) “your”/“her”/“his”
(5) “drug addiction”/“alcoholism”/“drug addiction and alcoholism”
(6) “your”/“her”/“his”
(7) “your”/“her”/“his”
(8) “you”/“she”/“he”
(9) “you”/“her”/“him”
(10) “your”/“her”/“his”
(11) “You do”/“She does”/“He does”
(12) “do”/“does”
(13) “your”/“her”/“his”
(14) “your”/“her”/“his”
(15) “you”/“she”/“he”
(16) “your”/“her”/“his”
(17) “you”/ “her”/ “him”
(18) “your”/“her”/“his”
(19) “your”/“her”/“his”
(20) “your”/“her”/“his”
(21) “you”/“her”/“him”
(22) “your”/“her”/“his”
(23) “your”/“her”/“his”
(24) “you”/“her”/“him”
DAAR01 Payments End 1/1/97
Because (1) a contributing factor material to (2) disability, the law says that:
(3) must go for treatment for (4) (5) when it is available, and make progress in (6) treatment or (7) payments will be stopped, and
(8) payments will end January 1, 1997 even if (9) in treatment, and
An organization or person, called a representative payee, must receive (10) payments for (11) . It will be (12) payee's duty to manage (13) payments and see that (14) needs are met, and
If we owe (15) for past months, we cannot pay all of the back payments in one lump sum. Instead,
we must pay this money over a period of months. The total amount we can pay each month
cannot be more than two times (16) regular monthly payment amount. By total amount, we mean (17) monthly payment and any back payment we are paying (18) .
Fill-ins:
(1) “drug addiction is”/“alcoholism is”/“drug addiction and alcoholism are”
(2) “your”/“her”/“his”
(3) “you”/“she”/“he”
(4) “your”/“her”/“his”
(5) “drug addiction”/“alcoholism”/“drug addiction and alcoholism”
(6) “your”/“her”/“his”
(7) “your”/“her”/“his”
(8) “your”/“her”/“his”
(9) “you are”/“she is”/“he is”
(10) “your”/“her”/“his”
(11) “you”/“her”/“him”
(12) “your”/“her”/“his”
(13) “your”/“her”/“his”
(14) “your”/“her”/“his”
(15) “you”/“her”/“him”
(16) “your”/“her”/“his”
(17) “your”/“her”/“his”
(18) “you”/“her”/“him”
DAA002 DAA – Award Notice – Treatment Required by Law
We will refer (1) to an agency that will decide what treatment is right for (2) . That agency will contact (3) about (4) treatment and when it is available. It will also check whether (5) for treatment and report (6) progress to us.
The law says that if (7) not go for treatment when it is available or (8) not make progress in (9) treatment, we must stop (10) payments. If this happens, we will not begin paying (11) right away even when (12) (13) treatments again and (14) making progress.
The first time we have to stop paying (15) , (16) payments will not begin until (17) back in treatment for 2 months in a row.
The second time we have to stop paying (18) , (19) payments will not begin until (20) back in treatment for 3 months in a row.
The third time we have to stop paying (21) , (22) payments will not begin until (23) back in treatment for 6 months in a row.
Fill-ins:
(1) “you”/“her”/“him”
(2) “you”/“her”/“him”
(3) “you”/“her”/“him”
(4) “your”/“her”/“his”
(5) “you go”/“she goes”/“he goes”
(6) “your”/“her”/“his”
(7) “you do”/“she does”/“he does”
(8) “do”/“does”
(9) “your”/“her”/“his”
(10) “your”/“her”/“his”
(11) “you”/“her”/“him”
(12) “you start”/“she starts”/“he starts”
(13) “your”/“her”/“his”
(14) “are”/“is”
(15) “you”/“her”/“him”
(16) “your”/“her”/“his”
(17) “you are”/“she is”/“he is”
(18) “you”/“her”/“him”
(19) “your”/“her”/“his”
(20) “you are”/“she is”/“he is”
(21) “you”/“her”/“him”
(22) “your”/“her”/“his”
(23) “you are”/“she is”/“he is”
DAAR06 Payment to Prevent Homelessness Not Paid
We did not pay (1) any additional money for housing costs from (2) past-due payments. This is because (3) .
Fill-ins:
(1) “you”/“her”/“him”
(2) “your”/“her”/“his”
(3)
Choice 1: you did not give us evidence showing you needed the extra money *
Choice 2: you can pay your housing costs from your regular monthly payments *
(*) indicates that the fill-ins are manual