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 form type:

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:cityTextOffice Address
disability_award_letter-Part1-General:officeAddress:stateStateOffice Address
disability_award_letter-Part1-General:officeAddress:zipCodeZIP CodeOffice Address
disability_award_letter-Part2-Beneficiary:beneficiaryNameTextBeneficiary Name
disability_award_letter-Part2-Beneficiary:custodial/guardianTextCustodial/Guardian
disability_award_letter-Part2-Beneficiary:beneficiaryAddress:addressLine1TextBeneficiary Address
disability_award_letter-Part2-Beneficiary:beneficiaryAddress:addressLine2TextBeneficiary Address
disability_award_letter-Part2-Beneficiary:beneficiaryAddress:cityTextBeneficiary 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

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"
}