- INITIAL APPLICATION- Usually requires completion of additional forms from Department of Disability Determination (DDS) and independent examinations if needed You can also apply for Supplemental Security Income (SSI) as well; this is a separate application through the Social security Office. Claims are accepted or denied usually within 60-90 days.
- REQUEST FOR RECONSIDERATION-(appeal) Same process as initial with another caseworker (I.e. a second opinion) Claims are accepted or denied, usually within 60 days.
- REQUEST FOR HEARING- longest step in the process Currently taking between 14-18 months to get to a hearing.
- HEARING- Hearing is with a federal magistrate judge (ALJ) and is informal. Testimony is usually limited to the petitioner, but occasionally a family member or friend will testify. Decision is based on testimony and medical records contained in the file.
FIVE STEP EVALUATION PROCESS AT THE HEARING
- SUBSTANTIAL GAINFUL ACTIVITY (SGA)- This complicated term just means that you cannot be working and making over $1040 per mo If you are, you cannot even put in an application-it will not be accepted.
- SEVERE IMPAIRMENT(S)- The applicant must have an impairment that is considered “severe” or a combination of impairments that together are considered “severe”. In addition, the impairments must be present or likely to be present for 12 consecutive months I.E. if you have a gall bladder surgery or a hysterectomy and your doctor has you out of work for three months, but then releases you, you will not qualify under this section. An impairment is considered severe if it significantly impairs a person’s ability to perform basic work activities
- LISTING- If your impairment is so bad that it meets the criteria outlined in the social security administration’s big book, you win right here. Bad news is it is very hard to meet a listing. Sometimes you should meet a listing, but you don’t have the right testing done to prove Social security will not usually send you for tests to find out.
- CAN YOU DO YOUR PRIOR RELEVANT WORK-
a. In this step, the administration, or the Judge, if you are at hearing, will determine what your “residual functional capacity” is. That means, what are your physical abilities considering the disabilities that you have. The main activities that are evaluated are sitting, standing, walking and lifting.
b. Next, we look at the jobs you did in the last fifteen years. If you did it 25 years ago, it does not count. In addition, if you did not do the job for more than three months, it does not count. Based on your RFC a vocational expert will evaluate your prior relevant work and give an opinion on if you can work in your previous occupations. If the judge or Social Security finds you can do one of your prior jobs, then a denial will be issued. If the judge or the administration finds that you cannot do one of your prior relevant jobs, then we move on to the last step- can you do any other jobs?
- IS THE PETITIONER ABLE TO DO ANY OTHER WORK AT ALL?
This is where many people get upset with the social security administration, because many times the prior work has been hard labor jobs. However, if the petitioner is young, specifically under fifty years of age, then skills often times do not matter. There are thousands of “sedentary” unskilled jobs in the national economy, meaning sit down jobs. So skills do not usually matter. The administration does not find you a job but they will say that you can “hypothetically” do a job based on your limitations and background.
If you are so limited that you have severe restrictions that prevent ANY work, then you will be found disabled.
If you have any questions or concerns regarding your Social Security Disability Claim and you need a Polk County Social Security Disability Claims Attorney to handle your case, contact the experienced Lakeland Florida Social Security Claims Lawyers at Lopez & Humphries P.A. by calling 863-709-1800 today for your free consultation.
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