Disability Award Letter
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
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 3 months ago