Disability Award Letter

Suggest Edits

This award letter details relevant information about your disability benefits eligibility and payments, including the date you became disabled (also known as the onset date), the first month you are entitled to receive benefits, and any lump sum amount of past due benefits that you are owed (also known as your back pay).

To use the Upload PDF endpoint for this document, you must use disability_award_letter in the form_type parameter.

Field descriptions

The following fields are available on this document type:

JSON Attribute	Data Type	Description
`disability_award_letter-Part1-General:dateOfLetter`	Date	Date Of Letter
`disability_award_letter-Part1-General:claimNumber`	Text	Claim Number
`disability_award_letter-Part1-General:socialSecurityNumber`	Social Security Number	Social Security Number
`disability_award_letter-Part1-General:issuingCompanyName`	Text	Issuing Company Name
`disability_award_letter-Part1-General:officeAddress:addressLine1`	Text	Office Address
`disability_award_letter-Part1-General:officeAddress:addressLine2`	Text	Office Address
`disability_award_letter-Part1-General:officeAddress:city`	Text	Office Address
`disability_award_letter-Part1-General:officeAddress:state`	State	Office Address
`disability_award_letter-Part1-General:officeAddress:zipCode`	ZIP Code	Office Address
`disability_award_letter-Part2-Beneficiary:beneficiaryName`	Text	Beneficiary Name
`disability_award_letter-Part2-Beneficiary:custodial/guardian`	Text	Custodian/Guardian
`disability_award_letter-Part2-Beneficiary:beneficiaryAddress:addressLine1`	Text	Beneficiary Address
`disability_award_letter-Part2-Beneficiary:beneficiaryAddress:addressLine2`	Text	Beneficiary Address
`disability_award_letter-Part2-Beneficiary:beneficiaryAddress:city`	Text	Beneficiary Address
`disability_award_letter-Part2-Beneficiary:beneficiaryAddress:state`	State	Beneficiary Address
`disability_award_letter-Part2-Beneficiary:beneficiaryAddress:zipCode`	ZIP Code	Beneficiary Address
`disability_award_letter-Part3-Date&Amount:disabilityDate`	Date	Disability Date
`disability_award_letter-Part3-Date&Amount:backPayTotal`	Money	Back Pay Total
`disability_award_letter-Part3-Date&Amount:backPayDate`	Date	Back Pay Date
`disability_award_letter-Part3-Date&Amount:monthlyBenefitAmount`	Money	Monthly Benefit Amount
`disability_award_letter-Part3-Date&Amount:monthlyBenefitCadence`	Text	Monthly Benefit Cadence
`disability_award_letter-Part3-Date&Amount:benefitExpirationDate`	Date	Benefit Expiration Date

Sample document

drive.google.com

DISABILITY_AWARD_LETTER.pdf

Sample JSON result

{
  "pk": 47309389,
  "uuid": "7c03bcad-6e8a-4277-bfa2-327ffc000972",
  "name": "DISABILITY_AWARD_LETTER (API)",
  "created": "2024-03-08T20:53:52Z",
  "created_ts": "2024-03-08T20:53:52Z",
  "verified_pages_count": 1,
  "book_status": "ACTIVE",
  "id": 47309389,
  "forms": [
    {
      "pk": 53577211,
      "uuid": "38b14954-9a32-40f9-88e0-d09a31d5d5e3",
      "uploaded_doc_pk": 68028142,
      "form_type": "DISABILITY_AWARD_LETTER",
      "raw_fields": {
        "disability_award_letter-Part1-General:claimNumber": {
          "value": "ABC-12345",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "DISABILITY_AWARD_LETTER.pdf",
          "confidence": 1.0
        },
        "disability_award_letter-Part1-General:dateOfLetter": {
          "value": "01/01/2023",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "DISABILITY_AWARD_LETTER.pdf",
          "confidence": 1.0
        },
        "disability_award_letter-Part3-Date&Amount:backPayDate": {
          "value": "03/07/2023",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "DISABILITY_AWARD_LETTER.pdf",
          "confidence": 1.0
        },
        "disability_award_letter-Part3-Date&Amount:backPayTotal": {
          "value": "7356.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "DISABILITY_AWARD_LETTER.pdf",
          "confidence": 1.0
        },
        "disability_award_letter-Part1-General:issuingCompanyName": {
          "value": "FAKE LIFE ASSURANCE COMPANY OF NEW YORK",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "DISABILITY_AWARD_LETTER.pdf",
          "confidence": 1.0
        },
        "disability_award_letter-Part1-General:officeAddress:city": {
          "value": "FAKE CITY",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "DISABILITY_AWARD_LETTER.pdf",
          "confidence": 1.0
        },
        "disability_award_letter-Part3-Date&Amount:disabilityDate": {
          "value": "12/07/2020",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "DISABILITY_AWARD_LETTER.pdf",
          "confidence": 1.0
        },
        "disability_award_letter-Part1-General:officeAddress:state": {
          "value": "NY",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "DISABILITY_AWARD_LETTER.pdf",
          "confidence": 1.0
        },
        "disability_award_letter-Part2-Beneficiary:beneficiaryName": {
          "value": "JOHN SAMPLE",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "DISABILITY_AWARD_LETTER.pdf",
          "confidence": 1.0
        },
        "disability_award_letter-Part1-General:socialSecurityNumber": {
          "value": "123-45-6789",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "DISABILITY_AWARD_LETTER.pdf",
          "confidence": 1.0
        },
        "disability_award_letter-Part1-General:officeAddress:zipCode": {
          "value": "12345",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "DISABILITY_AWARD_LETTER.pdf",
          "confidence": 1.0
        },
        "disability_award_letter-Part2-Beneficiary:custodial/guardian": {
          "value": "SMITH SAMPLE",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "DISABILITY_AWARD_LETTER.pdf",
          "confidence": 1.0
        },
        "disability_award_letter-Part3-Date&Amount:monthlyBenefitAmount": {
          "value": "6000.01",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "DISABILITY_AWARD_LETTER.pdf",
          "confidence": 1.0
        },
        "disability_award_letter-Part3-Date&Amount:benefitExpirationDate": {
          "value": "01/01/2040",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "DISABILITY_AWARD_LETTER.pdf",
          "confidence": 1.0
        },
        "disability_award_letter-Part3-Date&Amount:monthlyBenefitCadence": {
          "value": "SECOND WEDNESDAY OF EACH MONTH",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "DISABILITY_AWARD_LETTER.pdf",
          "confidence": 1.0
        },
        "disability_award_letter-Part1-General:officeAddress:addressLine1": {
          "value": "123 FAKE MEMORIAL AVE.",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "DISABILITY_AWARD_LETTER.pdf",
          "confidence": 1.0
        },
        "disability_award_letter-Part1-General:officeAddress:addressLine2": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "DISABILITY_AWARD_LETTER.pdf",
          "confidence": 1.0
        },
        "disability_award_letter-Part2-Beneficiary:beneficiaryAddress:city": {
          "value": "FAKE CITY",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "DISABILITY_AWARD_LETTER.pdf",
          "confidence": 1.0
        },
        "disability_award_letter-Part2-Beneficiary:beneficiaryAddress:state": {
          "value": "NY",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "DISABILITY_AWARD_LETTER.pdf",
          "confidence": 1.0
        },
        "disability_award_letter-Part2-Beneficiary:beneficiaryAddress:zipCode": {
          "value": "12345-6789",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "DISABILITY_AWARD_LETTER.pdf",
          "confidence": 1.0
        },
        "disability_award_letter-Part2-Beneficiary:beneficiaryAddress:addressLine1": {
          "value": "123 SAMPLE AVE.",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "DISABILITY_AWARD_LETTER.pdf",
          "confidence": 1.0
        },
        "disability_award_letter-Part2-Beneficiary:beneficiaryAddress:addressLine2": {
          "value": "APARTMENT #1",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "DISABILITY_AWARD_LETTER.pdf",
          "confidence": 1.0
        }
      },
      "form_config_pk": 342634,
      "tables": [],
      "attribute_data": null
    }
  ],
  "book_is_complete": true
}

Updated 24 days ago