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. The
            medical evidence in your case shows that you became able to do substantial gainful
            work on          . Accordingly, the last month of your disability freeze is         .
         
         Since you are able to do substantial gainful work, your condition is not disabling
            within the meaning of the law. Therefore, it has been necessary to deny your application
            for the payment of disability insurance benefits.
         
         (1) Attached to this notice is an explanation of the decision we made on your claim
            and how we arrived at it.
         
         (2) Insert personalized explanation.
         (3) Physicians and other trained disability evaluation personnel participated in this
            decision.
         
         (4) The decision on your claim was made by the Social Security Administration (not
            your personal physician) on the basis of a disability determination by an agency of
            the State in which you live. Physicians and other trained disability evaluation personnel
            in the State agency participated in making such a determination.
         
         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
            account.
         
         (5) 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 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.
         
          
         Enclosure:
 SSA Publication No. 05-10058