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Disability reward letter

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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).

The form_type parameter DISABILITY_AWARD_LETTER for the Upload PDF endpoint is required for this Form Type.

Optional fields captured

📘

Configuration-driven output

All fields below are optionally captured, depending on your order form. To adjust fields captured, please speak with your Ocrolus Account Manager.

JSON AttributeData TypeDescription
disability_award_letter-Part1-General:dateOfLetterDateDate Of Letter
disability_award_letter-Part1-General:claimNumberTextClaim Number
disability_award_letter-Part1-General:officeAddress:addressLine1TextOffice Address
disability_award_letter-Part1-General:officeAddress:addressLine2TextOffice Address
disability_award_letter-Part1-General:officeAddress:cityCityOffice Address
disability_award_letter-Part1-General:officeAddress:stateStateOffice Address
disability_award_letter-Part1-General:officeAddress:zipCodeZIP CodeOffice Address
disability_award_letter-Part2-Beneficiary:beneficiaryNameCityBeneficiary Name
disability_award_letter-Part2-Beneficiary:custodial/guardianCityCustodial/Guardian
disability_award_letter-Part2-Beneficiary:beneficiaryAddress:addressLine1TextBeneficiary Address
disability_award_letter-Part2-Beneficiary:beneficiaryAddress:addressLine2TextBeneficiary Address
disability_award_letter-Part2-Beneficiary:beneficiaryAddress:cityCityBeneficiary Address
disability_award_letter-Part2-Beneficiary:beneficiaryAddress:stateStateBeneficiary Address
disability_award_letter-Part2-Beneficiary:beneficiaryAddress:zipCodeZIP CodeBeneficiary Address
disability_award_letter-Part3-Date&Amount:disabilityDateDateDisability Date
disability_award_letter-Part3-Date&Amount:backPayTotalMoneyBack Pay Total
disability_award_letter-Part3-Date&Amount:backPayDateDateBack Pay Date
disability_award_letter-Part3-Date&Amount:monthlyBenefitAmountMoneyMonthly Benefit Amount
disability_award_letter-Part3-Date&Amount:monthlyBenefitCadenceTextMonthly Benefit Cadence

Sample form

Disability Award Letter (2022) API.pdf
drive.google.comdrive.google.com
Disability Award Letter (2022) API.pdf

Sample 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 3 months ago