Forms, Memos, and Pamphlets for Hardin Law Firm disability clients.
It is our job to make the appeals process as painless for for our disability clients as possible.
Here are a few of the disability forms and memos that are frequently used by our clients:
- Activities Questionnaire – This form will help both you and us to prepare for your hearing. Many questions on this form will be asked at your hearing, either by the judge or your attorney.
- Appointment of Representative – Used to appoint a representative to assist you with your Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) claim.
- Attorney Fee Agreement – An agreement between you and the law firm, about how much the attorney can charge for helping you with your case.
- DD Form 2870, Authorization for Disclosure of Medical Info (military) – The release required to obtain records from military installations.
- Disability Report – Appeal – This report must be filled out by all SSDI and SSI claimants who are appealing a denial. This form is filled out every time you appeal.
- Doctors of Disabled Child Patients – This is a form to be filled out by a disabled child’s doctor. The areas addressed on this questionnaire include: medical conditions, behaviors, learning, mobility skills, self-direction, and capacity for independent living.
- FAQs for Claimants – Answers to questions that are frequently asked by our clients.
- Medical Record Release Form – This form authorizes us to collect medical records and opinions on your behalf.
- Medical Record Request Letter – This is a request for health care providers to release your medical records to us.
- Pain Journal – Use this pain journal to track and rate your pain and other symptoms on a daily basis.
- Parents of Disabled Children – This is a questionnaire designed to be completed by parents of disabled children, to help identify limitations in functioning. Potential challenges include self-care skills, behavior problems, and medical conditions.
- Request for Administrative Information – SSA will send this form to the administrator of a disabled child’s school, to request information regarding testing, school placement, and educational disabilities.
- Request for Review of Hearing Decision/Disorder – This is Form HA-520-U5, used to appeal an ALJ decision. This completed form is sent to the Appeals Council for review.
- Teacher Questionnaire – This is the form that SSA sends to teachers of disabled children. SSA uses the information provided on this form to help determine whether a child will qualify for SSI benefits.
- Teachers of Disabled Students – This form is given to the teacher of a disabled child for completion. The teacher will address areas such as behavior problems, medical conditions, learning disabilities, and self-care issues.
- Testifying at your hearing – Find out what to expect when you go to your hearing. This memo includes lots of details about what to wear, what to say, and who will be present for your hearing.
- The Appeals Process – This publication outlines the appeals process for SSDI and SSI claims.
- VA Form 10-5345, Request for Medical Records (veterans) – This form must be filled out every time we need to request records from a Veterans Affairs (VA) hospital or doctor.
- Veterans: Disability benefits for Wounded Warriors – Learn more about this program that allows expedited processing of benefits claims for some veterans.
- Veteran’s 100 Percent Disability Claims -Learn more about this program that allows expedited processing of benefits claims for some veterans.
- Witness Letter Memo – This memo will provide guidance to anyone who would like to write a witness letter on your behalf.
- Your Right to Representation – This publication outlines your right to have representation during the appeals process for your SSDI or SSI claim.
If you are a current client and you need a copy of one of these documents mailed to you, please feel free to call us at 501-247-1830. We will be happy to help.
Originally Published: December 12, 2015 on thehardinlawfirm.com.
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Do you need help with your SSDI/SSI appeal and hearing?
If you are disabled and need help navigating the Social Security Disability system. Contact the Hardin Disability Team at The Hardin Law Firm, PLC, for help with your SSDI or SSI appeal and hearing.
HARDIN DISABILITY TEAM: Learn more about our Attorneys and Staff.
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DISCLAIMER: The information contained in this web site is intended to convey general information. It should not be construed as legal advice or opinion. It is not an offer to represent you, nor is it intended to create an attorney-client relationship.