Form SSA455 Disability Update Report

Accompanying the CDR notice will be Form SSA-455: Disability Update Report. A sample copy of the form and instructions on how to complete it follow.

RV You must use forms provided by the SSA. You can t-S-J obtain them at your local SSA Field Office or by calling the SSA hotline at 800-772-1213, Monday through Friday (except holidays), from 7 a.m. to 7 p.m. If you are deaf or hard of hearing, TTY service representatives are available at the same times at 800-325-0778. You can also download many necessary forms from the Social Security Administration website at www.ssa.gov.

1 If you've been self-employed (earned income that does not result from being an employee of someone else) within the last two years, check "yes" and indicate the dates you worked and your monthly earnings. Otherwise, check "no."

2 Indicate if you think your condition is better, the same or worse than when you started receiving benefits or at the time of your previous CDR.

3 If your doctor told you during the last two years that you could return to work, check "yes." Otherwise, check "no."

4 If you attended any school or work training program during the last two years, check "yes." Otherwise, check "no."

5 If you are interested in receiving rehabilitation or other services that could help you get back to work, check "yes." Otherwise, check "no."

6 If you have been hospitalized or had any surgery during the last two years, check "yes" and give the reasons for the hospitalization or surgery and the dates. Otherwise, check "no."

7 If you have visited a doctor or clinic for your condition during the last two years, check "yes" and

Sample Notice of Continuing Disability Review (Page 1)

Office of Disability Operations 1500 Woodlawn Drive Baltimore, Maryland 21241

Date: June 14, 20xx Claim Number: 000-00-0000

We must regularly review the cases of people getting disability benefits to make sure they are still disabled under our rules. It is time for us to review your case. This letter explains how we plan to start our review of your case.

What You Should Do

Please complete the form enclosed with this letter. Answer all the questions on the form because they are very important. They ask about your health problems and any work you did within the last 2 years.

We have enclosed an envelope for you to use. If there is no envelope with this letter, please send the signed form to us at the address shown above.

If We Do Not Hear From You

You should return the form within 10 days after you receive it. If we do not hear from you in that time, we will contact you again.

If you don't give us the information we need or tell us why you cannot give us the information, we may stop your benefits. Before we stop your benefits, we will send you another letter to tell you what we plan to do.

When We Receive the Completed Form

• If we need more information we will call you. If you do not have a telephone, please give a number where we can leave a message for you.

• The information you give us now will help us decide when we should do a full medical review of your case. We will let you know within 90 days after we receive the completed form whether or not we need to do a full medical review now.

Important Information

If we decide to do a full medical review of your case:

• You can give us any information which you believe shows that you are still disabled, such as medical reports and letters from your doctors about your health.

• We will look at all the information in your case, including the new information you give us.

• We may find that you are no longer disabled under our rules and your payments will stop. If this happens you can appeal our decision. You can also ask us to continue to pay benefits while you appeal.

Sample Notice of Continuing Disability Review (Page 2)

Things to Remember

Do you want to work but worry about losing your payments or Medicare before you can support yourself? We want to help you go to work when you are ready. But, work and earnings can affect your benefits. Your local Social Security office can tell you more about how work and earnings can affect your benefits.

If You Have Any Questions

If you have any questions, you may call us at 800-772-1213, or call your Social Security Office at 000-000-0000. We can answer most questions over the phone. You can also write or visit any Social Security office. The office that serves your area is located at: 12345 Main Street New York, NY 10000 If you do call or visit an office, please have this letter with you. It will help us answer your questions. Also, if you plan to visit an office, you should call ahead to make an appointment. This will help us serve you more quickly.

JamceL. Warden Janice L. Warden

Deputy Commissioner for Operations

Enclosures: SSA-455 Return Envelope

I'ORM APPROVED OMB NO.0960 0511

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Responses

  • Jeffrey
    How does a disabiliy update report work?
    7 years ago
  • Tom Hautam
    What causes a review of cdr form 09600511?
    7 years ago
  • Milena
    How to complet disability update report; social security?
    7 years ago
  • eleleta
    What should i answer for question 3 on the disability update report?
    6 years ago
  • Linda
    How to reprint ssa 455 form?
    6 years ago
  • aatifa habte
    Why did i receive a disability update report?
    6 years ago
  • jana
    Why did i get a ssa 455?
    6 years ago
  • amelia
    How to complete cdr social security review form?
    6 years ago
  • kasey
    What is the disablility update report?
    6 years ago
  • michelle
    Are disability update reports sent to local office?
    6 years ago
  • annabelle
    How to complete a disability update report?
    6 years ago
  • robert
    What is the disability update report process?
    6 years ago
  • adalfredo
    How long disability update information?
    5 years ago
  • LIA FIORENTINO
    How to complete a disability update form?
    5 years ago
  • Molly
    What is a disability update report OMB number 0960–0511 process?
    5 years ago
  • Agnese Manfrin
    What is a ssi update report 6 questions?
    5 years ago
  • Nibs
    What does a need more information on contuing disablilty report?
    4 years ago
  • KAYLEY STEVENSON
    Does a ssd cdr follow ssa 821 form?
    4 years ago
  • vala
    Why did i get a ssa455 mailer cdr after only 2 years?
    4 years ago
  • fiori
    Why do i get a disability ssa455ocr update request form?
    4 years ago
  • zufan osman
    How should i answer question 3 on the SSD short form?
    4 years ago
  • Angelica
    What is ssaomb 09600511?
    4 years ago
  • luukas
    What does ombno.09600511 disability update report?
    3 years ago
  • Karoliina
    How to complete the disability update report form?
    3 years ago
  • habaccuc
    What medical dates would raise a red flag on your SSD CDR review?
    3 years ago
  • Mohammed
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    3 years ago
  • pearl
    How to answe question 3 on short formssa disability update report?
    3 years ago
  • Tabitha
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    3 years ago
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    3 years ago
  • Leila
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    3 years ago
  • eleleta
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    3 years ago
  • Kaelyn
    What is ssa form 455ocrsm[102013]?
    3 years ago
  • berenice
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    3 years ago
  • julia
    How to answer disability health update form ssa455 for social security?
    3 years ago
  • Flavio Dellucci
    What are red flag answers on a disability update report?
    3 years ago
  • bilba
    WHO GETS SSD CDR FORM OMB 0960 0511?
    3 years ago
  • Daisy
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    3 years ago
  • fernando vaughn
    WHAT WOULD RAISE A RED FLAG ON A SSD CDR SHORT FORM?
    3 years ago
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    3 years ago
  • Lena
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    3 years ago
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    3 years ago
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    3 years ago
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    3 years ago
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    3 years ago
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    3 years ago
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    2 years ago
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    2 years ago
  • elias
    Why did ssi send me a letter to fill out for 2 year update?
    2 years ago
  • michelino
    How will i find out about my disability update report?
    2 years ago
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    Can i lose my ssi after a cdr short form?
    2 years ago
  • Theodoric
    What would cause a red flag on a SS disabilty update 445OMC?
    2 years ago
  • Niklas
    How long after returning ssa 3368 should i get a answer?
    2 years ago
  • abdullah
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    2 years ago
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    2 years ago
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    2 years ago
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    2 years ago
  • antoni
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    2 years ago
  • semolina
    What is a scannable disability report?
    2 years ago
  • arduino
    HOW LONG DO I HAVE TO MAIL THE SSA455 BACK?
    2 years ago
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    How long does it take for social security to respond to disability update report?
    1 year ago
  • steffen
    How often does Social Security send a disability update form?
    1 year ago
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    1 year ago
  • Christine
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    1 year ago
  • mike
    WHERE TO MAIL DISABILITY UDATE REPORT?
    1 year ago
  • Terzo
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    12 months ago
  • patrick
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    10 months ago
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    10 months ago
  • Melissa
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    10 months ago
  • duenna
    What if i cant make it to my disabilty reveiw yahoo?
    9 months ago
  • VANNA
    How many notices will social security administration send?
    9 months ago
  • BALBO
    What does a ssa. reveiw update of aproval look like?
    8 months ago
  • estella gaukrogers
    Can you return the scannable ssa form 455 to a regular field office?
    6 months ago
  • makda
    What is adisability update report?
    2 months ago
  • stefania
    How long does it take to process a short form ssa cdr?
    2 months ago
  • mackenzie
    Can i submit the SSA455 Disability Update Report online?
    2 months ago
  • Diamanda
    Where to return ssa455?
    2 months ago
  • Lia
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    2 months ago
  • jamila
    How long does it take to hear back from ssd with the update letter?
    2 months ago
  • LORENZO DAVIDSON
    Can I print a sample SSDI form?
    1 month ago
  • fethawi
    What does 11111 mean on disability update form?
    28 days ago

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