How to Write a Disability Appeal Letter: 8 Tips and Sample Letter | Atticus (2024)

The application process for disability benefits can be daunting, especially when faced with the stark reality that the Social Security Administration (SSA) denies more than 70% of initial applications.

However, receiving a denial letter from the SSA doesn't mark the end of the road. It's important to understand that filing for an appeal is a standard and expected part of the disability claim process.

This guide includes tips for how to write a disability appeal letter, a step-by-step guide, and even a sample letter.

What is a disability appeal letter?

A disability appeal letter is a written document by an individual whose application for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits has been denied.

You can write a disability appeal letter as a formal request to the SSA, asking them to reconsider their decision regarding a disability claim. This personalized narrative presents your case to the SSA and goes beyond the basic submission of medical records and disability reports.

The letter allows claimants to provide a detailed account of their medical condition, daily activities, and how these impairments affect their ability to work. It's an opportunity to supply additional information or new evidence that might not have been included in the initial application or was not adequately considered.

4 stages of the disability appeals process

If the Social Security Administration denies your application for disability benefits, you have 60 days to appeal the decision. The appeals process can include the following stages:

1. Reconsideration: After denying an initial application, the SSA will review the application materials to see if there were any mistakes. The majority of reconsiderations end with denial.

2. Disability hearing: The next stage of the appeals process is a court hearing, where you can make your case to an administrative law judge (ALJ). This is typically the final stage of the appeals process since more than half of disability hearings lead to approvals.

3. Social Security Appeals Council: In rare cases, the Social Security Appeals Council will review the ALJ’s decision and request another hearing. The odds of winning at this stage are low, especially since cases generally go back to the same ALJ.

4. Federal court review: Claimants can take their case to the United States District Court with a civil lawsuit to contest the SSA’s decision. The chances of successfully winning benefits at this stage — and securing a lawyer to represent you — are low.

Disability appeal letter step-by-step guide

Writing an effective appeal letter for disability benefits requires attention to detail and a clear understanding of what the SSA looks for in such appeals. Here is a step-by-step guide to help you craft a compelling disability appeal letter:

1. Gather necessary information

Compile your claim number and contact information to ensure your appeal is properly linked to your existing disability claim. Also, collect all relevant medical evidence to back up your medical condition.This includes any new or additional medical documentation that was not part of your original SSDI or SSI claim.

2. Complete the appeal forms

Obtain and accurately fill out the required appeal forms from the SSA, including the SSA-561, the official form for Request for Reconsideration. If your application was denied for medical reasons, you might also need to file Form SSA-3441 and Form SSA-827. These forms are essential in formally initiating the appeal process for your disability benefits.

3. Draft your appeal letter

Write a clear and concise letter stating your intention to appeal the disability claim denial. Detail your medical condition and explain how it impairs your daily activities, and why you believe you qualify for Social Security disability benefits. This letter should directly address the reasons for denial stated in your initial denial letter.

4. Attach supporting documents

Include all relevant supporting documentation with your appeal. This might include updated medical records, letters from healthcare providers, and any other evidence to strengthen your case. Ensure the additional information aligns with the Social Security Administration requirements.

5. Accept a hearing request

If your case advances to the hearing level, express your willingness to participate in a hearing before an administrative law judge. Provide your phone number and other contact details to facilitate communication regarding the hearing arrangements.

6. Review and revise

Carefully review your letter for any errors. Ensure it is clear, concise, and presents your case effectively. This step is important since it determines how well SSA claims representatives will understand your case.

7. Submit the appeal

Send your completed appeal forms, along with the appeal letter and supporting documentation, to your local Social Security office. It's important to keep copies of all submitted documents for your records.

8. Follow up with the SSA

After submitting the appeal, confirm that the SSA has received your paperwork. You can do this by contacting your local Social Security office either through a phone call or an in-person visit.

9. Seek assistance

The disability application process can be overwhelming. Seek help from a family member or a disability lawyer who can provide guidance and support in navigating the complexities of the Social Security disability appeal process.

8 Tips for Writing a Disability Appeal Letter

A successful disability appeal letter communicates your unique situation. Follow these tips to make a stronger case for your disability benefits:

1. Be specific. In your letter, focus on specifics rather than generalities. Use descriptive words like “throbbing” or “shooting” to describe pain. This helps to create a vivid understanding for the reader.

2. Personalize your story. Share how your condition impacts your daily life and your ability to work. For example, if you are an electrician diagnosed with rheumatoid arthritis, explain how gripping tools and standing for long periods is challenging for you.

3. Stay positive and respectful. Maintain a positive and respectful tone throughout the letter. Avoid expressing anger or frustration with the initial decision.

4. Highlight key medical opinions. Emphasize the opinions of your doctors or specialists, especially if they directly address the reasons for your initial denial. Quotes from medical professionals can be particularly persuasive.

5. Keep it organized and concise. While details are important, keep your letter on the shorter side. You can organize your letter clearly with headings or bullet points to make it easy to read and understand.

6. Include witness statements. If applicable, include statements from family members, friends, or coworkers who can attest to how your disability affects your life and work.

7. Refer to the SSA Blue Book. Mention any specific criteria from the SSA’s Blue Book (the list of recognized disabilities and related symptoms) that apply to your case.

8. Address any work attempts. If you’ve attempted to work despite your disability, mention this in your letter. It can demonstrate your commitment to remain productive and the limitations you face.

Sample Appeal Letter

[Date]

Social Security Administration[Local Office Address][City, State, Zip Code]

Re: Request for Reconsideration for SSDI ClaimClaim Number: [Your Claim Number]

Dear Sir/Madam,

I am writing to formally request the reconsideration of my Social Security Disability Insurance (SSDI) claim, which was denied on [Date of Denial]. I believe this decision does not fully reflect the extent of my medical condition and its impact on my ability to work. My claim number is [Your Claim Number].

Since my initial application, my condition, [specific medical condition], has continued to affect my daily activities severely. Despite treatments, I have experienced significant challenges, including [specific symptoms or limitations]. These issues have been extensively documented in the medical records and reports from my healthcare providers, which I have included with this letter.

Moreover, I would like to highlight the medical opinion of [Doctor’s Name], my primary care physician, who has been overseeing my treatment. [Doctor’s Name] has provided a detailed letter, enclosed with this appeal, that explains how my condition meets the SSA’s disability criteria. This letter addresses the concerns raised in the denial of my initial application.

I have also included additional medical evidence and updated records that offer more insight into the severity of my condition. These documents, I believe, will demonstrate that my disability significantly limits my ability to engage in substantial gainful activity.

I respectfully request a thorough review of these additional materials and a reconsideration of my claim. I am also willing and prepared to attend a hearing if required, to further discuss my case. My contact number is [Your Phone Number], should you need to reach me for further information or clarification.

Thank you for taking the time to review my appeal. I trust that this additional information will provide a clearer understanding of my situation and the necessity for SSDI benefits in my case.

Sincerely,

[Your Name][Enclosures: Medical Records, Doctor’s Letter, Additional Evidence]

Get help with your Social Security disability appeal

Deciding to work with a lawyer on your Social Security Disability appeal can be a pivotal choice in the appeal process. It's not mandatory to have one, but working with an attorney can increase your chances of winning benefits by three times.

Take our 2-minute quiz to see if you might qualify for benefits. A member of our team will reach out to learn more about your case, and if you’re interested, we can connect you with an attorney at no upfront cost.