If the individual reports no medical sources, and the diagnosis is not one of those
listed in DI 28040.125B.1. or DI 28040.125B.2. in this section, the DDS should contact any third party the individual believes can
verify his or her statements. A signed permission to contact a nonmedical third party
is not necessary.
Contact any nonmedical third party that has knowledge of the individual's condition
and can provide an objective assessment of the individual's condition. Nonmedical
third party contacts may include:
Sheltered workshop administrators.
Schools or organizations for persons with the same type of impairment as the individual.
Social service organizations that provide some form of assistance.
Explain to the third party that we are conducting a CDR on the individual as required
by law. Assure the person that we have permission from the individual to contact them.
Do not tell the third party any information about the individual other than that we
are conducting a CDR. Ask the contact how recently he or she saw the individual, and
whether the individual remains impaired and unable to work or, in a Title XVI child
case, unable to return to normal activities.
Prepare a summary of the statement (Form SSA-795 or other locally approved form) and forward it to the source for review and signature;
include a business reply envelope.
The DDS cannot complete a determination (if the determination is based on the nonmedical
third party statement) prior to receiving the statement back from the nonmedical third
party source. If the third party statement:
Verifies the individuals statements, the DDS may process a continuance.
Creates a continuing disability issue, the DDS should send the case to the FO for
a full CDR in accordance with DI 28040.215.
Is not received by 14 calendar days from the date of the cover letter, follow up with
the nonmedical third party contact via telephone. If applicable, return the case to
the FO in accordance with DI 28040.125B.4. in this section, or schedule a consultative examination if possible.
The DDS will include the third party statement in the file, if it is received prior
to completing the case. When receiving evidence in Certified Electronic Folder (CEF)
cases, see DI 81020.060. The DDS will process statements or other evidence received after the determination
as “trailer material”.