Disability Award Letter
The 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 form 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: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 | Custodial/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 |
Sample form
drive.google.comSample JSON result
{
"status": 200,
"response": {
"pk": 29946544,
"uuid": "2410cd7f-b35d-46ba-b956-ac31f8e4b57b",
"forms": [
{
"pk": 44474671,
"uuid": "23ec84cc-2419-4171-8e65-e442659fd19c",
"uploaded_doc_pk": 52114537,
"form_type": "DISABILITY_AWARD_LETTER",
"raw_fields": {
"disability_award_letter-Part1-General:claimNumber": {
"value": "123456789",
"is_empty": false,
"alias_used": null,
"source_filename": "Disability Award Letter (2022) API.pdf"
},
"disability_award_letter-Part1-General:dateOfLetter": {
"value": "12/01/2020",
"is_empty": false,
"alias_used": null,
"source_filename": "Disability Award Letter (2022) API.pdf"
},
"disability_award_letter-Part3-Date&Amount:backPayDate": {
"value": "03/07/2021",
"is_empty": false,
"alias_used": null,
"source_filename": "Disability Award Letter (2022) API.pdf"
},
"disability_award_letter-Part3-Date&Amount:backPayTotal": {
"value": "1356.00",
"is_empty": false,
"alias_used": null,
"source_filename": "Disability Award Letter (2022) API.pdf"
},
"disability_award_letter-Part1-General:officeAddress:city": {
"value": "ANYTOWN",
"is_empty": false,
"alias_used": null,
"source_filename": "Disability Award Letter (2022) API.pdf"
},
"disability_award_letter-Part3-Date&Amount:disabilityDate": {
"value": "12/07/2010",
"is_empty": false,
"alias_used": null,
"source_filename": "Disability Award Letter (2022) API.pdf"
},
"disability_award_letter-Part1-General:officeAddress:state": {
"value": "MI",
"is_empty": false,
"alias_used": null,
"source_filename": "Disability Award Letter (2022) API.pdf"
},
"disability_award_letter-Part2-Beneficiary:beneficiaryName": {
"value": "JOHN SAMPLE",
"is_empty": false,
"alias_used": null,
"source_filename": "Disability Award Letter (2022) API.pdf"
},
"disability_award_letter-Part1-General:officeAddress:zipCode": {
"value": "12345",
"is_empty": false,
"alias_used": null,
"source_filename": "Disability Award Letter (2022) API.pdf"
},
"disability_award_letter-Part2-Beneficiary:custodial/guardian": {
"value": "",
"is_empty": true,
"alias_used": null,
"source_filename": "Disability Award Letter (2022) API.pdf"
},
"disability_award_letter-Part3-Date&Amount:monthlyBenefitAmount": {
"value": "1065.00",
"is_empty": false,
"alias_used": null,
"source_filename": "Disability Award Letter (2022) API.pdf"
},
"disability_award_letter-Part3-Date&Amount:monthlyBenefitCadence": {
"value": "SECOND WEDNESDAY OF EACH MONTH",
"is_empty": false,
"alias_used": null,
"source_filename": "Disability Award Letter (2022) API.pdf"
},
"disability_award_letter-Part1-General:officeAddress:addressLine1": {
"value": "123 A FAKE DRIVE",
"is_empty": false,
"alias_used": null,
"source_filename": "Disability Award Letter (2022) API.pdf"
},
"disability_award_letter-Part1-General:officeAddress:addressLine2": {
"value": "",
"is_empty": true,
"alias_used": null,
"source_filename": "Disability Award Letter (2022) API.pdf"
},
"disability_award_letter-Part2-Beneficiary:beneficiaryAddress:city": {
"value": "FAKE CITY",
"is_empty": false,
"alias_used": null,
"source_filename": "Disability Award Letter (2022) API.pdf"
},
"disability_award_letter-Part2-Beneficiary:beneficiaryAddress:state": {
"value": "MI",
"is_empty": false,
"alias_used": null,
"source_filename": "Disability Award Letter (2022) API.pdf"
},
"disability_award_letter-Part2-Beneficiary:beneficiaryAddress:zipCode": {
"value": "12345",
"is_empty": false,
"alias_used": null,
"source_filename": "Disability Award Letter (2022) API.pdf"
},
"disability_award_letter-Part2-Beneficiary:beneficiaryAddress:addressLine1": {
"value": "123 SECURITY BLVD",
"is_empty": false,
"alias_used": null,
"source_filename": "Disability Award Letter (2022) API.pdf"
},
"disability_award_letter-Part2-Beneficiary:beneficiaryAddress:addressLine2": {
"value": "",
"is_empty": true,
"alias_used": null,
"source_filename": "Disability Award Letter (2022) API.pdf"
}
},
"form_config_pk": 120448,
"tables": []
},
"message": "OK"
}
Updated 24 days ago