Sample Written Statements for Disability Claims

Explore practical examples of written statements for Social Security disability claims.
By Jamie

Introduction

Navigating the Social Security disability claims process can be daunting, and a well-crafted written statement is essential for articulating your case. These statements provide clarity on your medical conditions, limitations, and how they affect your daily life. Below are three diverse examples of sample written statements for Social Security disability claims that can serve as templates or inspiration for your own submissions.

Example 1: Chronic Pain Condition Statement

In this case, the claimant suffers from chronic pain due to fibromyalgia, impacting their ability to work and perform daily tasks.

The claimant states:
“I am submitting this statement to support my claim for Social Security disability benefits. I have been diagnosed with fibromyalgia, which causes widespread chronic pain, fatigue, and cognitive difficulties. Due to this condition, I am unable to perform my previous job as a customer service representative.

On a typical day, I wake up with severe pain in my joints and muscles, which makes it difficult for me to get out of bed. I often experience flare-ups that can last for days, during which I am unable to engage in any physical activity. Simple tasks such as cooking, cleaning, or even getting dressed can become overwhelming.

I have been under the care of a rheumatologist and a pain management specialist, receiving medications and physical therapy. However, these treatments only provide limited relief. I often experience fatigue so severe that I need to take naps throughout the day, further limiting my ability to work.

I have attached medical records that document my diagnosis, treatment history, and how my condition has progressively worsened over the past year. I appreciate your consideration of my claim for Social Security disability benefits.”

Notes: This example highlights the importance of specifying daily challenges and providing medical documentation as evidence. Variations could include mentioning specific treatments or therapies that have been attempted.

Example 2: Mental Health Statement

This statement focuses on the impact of severe anxiety and depression on the claimant’s ability to function in a work environment.

The claimant states:
“I am writing to provide a personal account of my mental health challenges as part of my application for Social Security disability benefits. I have been diagnosed with severe anxiety disorder and major depression, which significantly impact my daily life and ability to maintain employment.

Every day is a struggle, and I often wake up feeling an overwhelming sense of dread. Social interactions, including basic communication with colleagues or clients, can provoke debilitating panic attacks. I have tried various medications and therapy sessions, but my symptoms persist.

In the past year, I have been hospitalized twice due to severe depressive episodes, during which I was unable to care for myself. I find it nearly impossible to concentrate or complete tasks, even simple ones like answering emails or making phone calls. My mental health condition has not only affected my work life but has also strained my personal relationships.

I have included letters from my therapist and psychiatrist, detailing my diagnosis, treatment efforts, and the impact of my condition on my ability to work. Thank you for your attention to my situation.”

Notes: This example illustrates the need for clear descriptions of mental health issues and their effects on daily activities. Incorporating professional opinions can strengthen the claim.

Example 3: Physical Disability Statement

This statement is from a claimant with a physical disability due to a recent accident that has rendered them unable to work.

The claimant states:
“I am submitting this statement as part of my application for Social Security disability benefits due to a serious injury sustained in a car accident. I suffered multiple fractures in my legs and underwent surgery, which has significantly limited my mobility.

Since the accident, I have been in physical therapy, but my doctors have informed me that I may never regain full functionality. Simple actions like walking, climbing stairs, or even standing for extended periods cause me severe pain and fatigue. I have been advised to avoid any strenuous activities, which has made returning to my job as a construction worker impossible.

Currently, I rely on assistive devices, such as crutches and a walker, to move around my home. Daily activities like grocery shopping or household chores require assistance from family members. I have attached medical records, including surgical reports and notes from my physical therapist, to support my claim. Thank you for reviewing my application for disability benefits.”

Notes: This example emphasizes the need for specific details regarding physical limitations and the impact of the disability on work and daily life. Providing comprehensive medical documentation is crucial.