TN 4 (05-22)

DI 29025.008 Notice of Title XVI Childhood Continuing Disability Review (CDR) Reconsideration Involving Age 18 Redetermination - Exhibit

Social Security Administration

Supplemental Security Income

Important Information

Date: _______________

[Claim Number or BIN]


John Payee for

Jane G. Beneficiary

101 Main Street

My City, ST 00001


This letter is about your SSI. You do not need to call us.

Earlier you asked that we reconsider our decision that you were no longer disabled. We are writing now to tell you that because you are over age 18 or soon to turn age 18, we will use the same disability rules we use for adults who file new claims to decide your case for the period after you turned age 18. However, we will not apply the rule that says we must deny your claim if you are working.

At any time during the reconsideration process, if you think of new information which might be important, such as a visit to a doctor or a hospital, let us know right away.


We Will Let You Know What We Decide

Trained staff who had no part in making the original decision that you aren’t disabled will decide if you are disabled. The disability rules for adults are different than the disability rules for children. We will evaluate the period prior to age 18 under the child rules and we will evaluate the period after age 18 under the adult rules.

When we decide we will let you know our decision. Our letter will explain your right to appeal the decision. If you appeal the decision you can also choose to have us continue to make payments until we decide the appeal.

See Next Page

Page 2 of 2

[Claim number or BIN]

Information About Work

If you work or want to work but are concerned about losing your SSI or medical assistance, your local Social Security office can tell you more about work incentives and how work and earnings can affect your SSI.


If You Have Any Questions

We invite you to visit our website at to find general information about Social Security. If you have any questions, you may call us toll free at 1-800-772-1213, 8 a.m. to 7 p.m., Monday through Friday. You may also call if you are deaf or hard of hearing, call TTY 1-800-325-0778. We can answer most of your questions over the phone. Our busiest times are the first week of the month and Mondays. We may be able to handle your call more quickly if you can call us at other times.

You can write or visit any Social Security office. The address of the office that serves your area is:

123 Main Street

Anywhere, USA 00000

If you call or visit an office, please have this letter with you. It will help us answer your questions. Also, if you plan to visit an office, you may call ahead to make an appointment. This will help us serve you more quickly.

Social Security Administration


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DI 29025.008 - Notice of Title XVI Childhood Continuing Disability Review (CDR) Reconsideration Involving Age 18 Redetermination - Exhibit - 05/23/2022
Batch run: 05/23/2022