Get the free Request for Continuing Disability Benefits - Supplemental

This document is a request form for insured individuals to apply for continuing disability benefits through the American Fidelity Assurance Company (AFAC). It includes sections for the insured to provide personal and medical information, details about their current disability status, and consent for the release of medical records. Instructions for completing the form and submitting it are also provided.

How to fill out request for continuing disability

How to fill out request for continuing disability

1. Collect necessary documents, including medical records and supporting evidence of your disability.
2. Obtain the Request for Continuing Disability form from the Social Security Administration (SSA) website or local office.
3. Fill out the identification section with your personal information, including your Social Security number.
4. Provide detailed information about your current medical condition and explain how it affects your ability to work.
5. List any medical treatments or therapies you are currently undergoing.
6. Document any changes in your physical and mental condition since your last review.
7. Sign and date the form to certify that all information provided is accurate.
8. Submit the completed form along with any supporting documentation to the SSA before the deadline.

Who needs request for continuing disability?

1. Individuals receiving Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) whose cases are up for review.
2. People experiencing long-term disabilities that may require continued assistance.
3. Patients undergoing treatment for chronic illnesses that may affect their ability to work.

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What is request for continuing disability?

A request for continuing disability is a formal application submitted to confirm that an individual still meets the criteria for receiving disability benefits.

Who is required to file request for continuing disability?

Individuals who are currently receiving disability benefits and need to prove their ongoing eligibility must file a request for continuing disability.

How to fill out request for continuing disability?

To fill out a request for continuing disability, individuals should complete the designated forms provided by the disability program and provide accurate information regarding their current health status and ability to work.

What is the purpose of request for continuing disability?

The purpose of the request for continuing disability is to ensure that beneficiaries continue to qualify for disability benefits based on their current medical condition and ability to work.

What information must be reported on request for continuing disability?

Individuals must report their current medical conditions, treatments, medications, work history, and any changes in their ability to perform daily activities.