SOCIAL SECURITY ADMINISTRATION
[Social Security Disability Insurance
Supplemental Security Income – use correct title(s)]
Notice of Continuing Disability Review
N/H SSN, if applicable:
We talked to you earlier about Social Security reviewing your disability case. During our phone conversation, we told you that we could ask you questions about your disability and we would record your answers. You said that you wanted us to send you a form to complete instead of answering the questions on the phone. This letter explains our review process and includes the form (Continuing Disability Review Report, SSA-454-BK) for you to complete and return to us.
Periodically, we must review the cases of people who are receiving disability benefits to make sure that they are still disabled. We are getting ready to review your ____________________ case(s) and need to update the information in your file. [Use appropriate text for type of case - Social Security Disability; Supplemental Security Income; or, Social Security and Supplemental Security Income.]
What Will We Do In the Review Process?
Generally, we will review your case to see if your medical condition(s) has changed since the last time we looked at your case. To do this, we will need information from doctors, hospitals, clinics, and other sources that have treated you in the last 12 months. If you have not been treated in the last 12 months, we may ask for information from other people who can tell us about your condition(s). We will also ask how your condition(s) limits you. After we have received current information, we will look at how your condition(s) was at the time we last looked at your case and then look at how you are now to see if your condition(s) has changed. If we need more information, we will contact you again. When we have finished the review, we will send you a letter to let you know what we have decided.
What If the Review Shows You Are No Longer Disabled?
When we last looked at your case, we expected that your condition(s) would not get better. However, it is possible that we will find out that you are no longer disabled and that your checks should stop. If this happens, you can appeal our decision. You can have a face-to-face hearing with the person who will make the decision on your appeal. You can also ask us to keep paying you during your appeal.
What Should You Do Now?
Complete the enclosed SSA-454-BK. We have also included some other forms (Authorization to Disclose Information to the Social Security Administration (SSA), SSA-827) that we need you to sign, date, have witnessed, and return to us. These forms give us permission to request information from your medical and other sources. We cannot continue the review process until we receive these forms. If you have additional information about your disability that you would like to give us, you may send it along with these forms. We have included a return envelope for you to use.
Please call ____________________ at phone number ____________________ if you have questions about this review process or these forms. Please return all forms to us by ____________________ [14 calendar days from date of this letter].
If we do not receive all forms by the above date, we may terminate your benefits.