Disability Appeal Letter Sample

Dear Mr. Hardisen,

I write this disability appeal letter in regards to your company’s recent denial for benefits. I am unsure what lead to this decision. I produced more than enough medical documentation to prove my case.

On January 4 2012 I was involved in a work related accident on-site. I underwent three surgeries. I went back to work but was unable to fulfill my obligations. Headaches blurred vision and joint pain made it impossible to handle the loads. My employer reassigned me but diminished hand-eye coordination and blurred vision gave me headaches trying to maintain paperwork or staring at computers for extended periods. This led to my employer letting me go in April 2013.

I am asking that Linden Insurance reconsider its decision. This package includes detailed information regarding medical records operations appointments treatments and medications that resulted from the accident. There are notarized letters from my general physician and two surgeons attesting to my inability to function in even the mildest office environment. And I am prepared to take any tests needed to substantiate this.

I thank you for your patience and look forward to hearing from you.

Best Regards,

Wayne R. Langston