Dear Senator/Congressperson: 

I am a polio survivor of the 19XX epidemic. I have been working for XX years as a YOUR JOB but am now unable to work because of Post-Polio Sequelae (PPS). But I have been denied SSDI. 

Many polio survivors are being denied SSDI because SSA personnel do not know there has been a policy in place since 1987 -- the POMS for the "The Late Effects of Poliomyelitis" (24580.01) -- allowing polio survivors to receive disability benefits. SSA adjudicators wrongly use the listing for "Acute Anterior Poliomyelitis" (11.11) to determine eligibility for SSDI for those with Post-Polio Sequelae. Polio survivors are now disabled, not by polio paralysis or "motor disorganization, but most commonly by disabling fatigue due to Post-Polio Sequelae. To insure that SSA personnel no longer inappropriately deny polio survivors, a Social Security Ruling for Post-Polio Sequelae (Social Security Ruling, SSR 03-1p.; Titles II and XVI) was released by Commissioner Barnhart on July 2, 2003 (please see enclosed). 

Would you please contact the SSA ADJUDICATOR'S NAME and HEAD OF THE SSA OFFICE at the YOUR TOWN Social Security office, 555-555-5555, at THIS ADDRESS. As a Member of Congress you can ask for an Administrative Review of my denial to determine if the Social Security Ruling was followed. Please ask for an On-the-Record Administrative Review of my denial and ask Social Security to make a decision about my disability based on the Social Security Ruling, their own procedures and guidelines, and on the actual cause of my not being able to work, LIST CAUSE(S).

Yours truly,