Sample ALJ Cover Letter

(Use to communicate with the ALJ on any subject)

Date:

Your full name
Address
City, State, Zip

Dear Sir,

This correspondence is on behalf of claimant _____________________, SSN ____________________, who has applied for disability benefits on the initial and reconsideration levels and received in both instances a denial determination.

I am requesting that this case be reviewed by a residing (Hearings Officer) or Administrative Law Judge, depending upon the application level, and that a favorable decision be rendered based on evidence of record. I am also waiving our right to attend a face-to-face hearing, as we feel the evidence of record is sufficient to find this claimant to be under a disability as defined within the Federal code of regulations and the Social Security Act. Please review the attached formal evaluation of this claimant's condition and consider it in your review of the issues involved in this case.

Thank you for your cooperation in this matter.

Sincerely Yours,

Authorized representative

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