NL 00705.520 Prisoner Model Letter “S”—Felony Related Impairment—DIB, CDB
Prepare on SSA-L951-C2/U2.
Social Security Notice
You are not entitled to disability benefits because you do not meet the disability requirements of the law. In determining if a person is disabled, we cannot consider any impairment connected with the commission of a felony after October 19, 1980, for which the person has been convicted. This includes an impairment that arose during the felony. This also includes the aggravation of an impairment if the aggravation occurred during the felony. Where the jurisdiction does not classify any crime as a felony, we apply these provisions to a crime which can be punished by death or by imprisonment for more than one year.
Our records show that your condition was connected with this type of felony or crime. Our records also show that you have no other impairment which prevents you from doing substantial gainful work. If you become unable to work because of an impairment that is not connected with this type of offense, contact an Social Security office. You can apply for disability benefits again.
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 your 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 do not request reconsideration of your case within the prescribed time period, you still have the right to file another application at any time.
If you have questions about your claim, you may get in touch with any Social Security office. Most questions can be handled by telephone or mail.
SSA Publication No. 70-10058