Current SSA-L1373

MAXIMUS
MAXIMUS
Request for Important Information
MAXIMUS Ticket to Work
P.O. Box 1433
Alexandria, Virginia 22313

Claim Account Number:

Re: 12-Month Progress Review – Request for Response
Name:
We are writing to you about your progress with work and earnings from through . After every 12
months that you actively work with an Employment Network (EN) or State vocational
rehabilitation (VR) agency, we must decide if you are making the expected progress.
Based on the length of time you have been active, we must now conduct your 12month Progress Review.
What You Should Do
Please complete the attached Progress Review Form and return it to us according to the
instructions on the form within 30 days of the date of this letter. After 30 days, we will
decide if you have met the required Timely Progress Guidelines for the 12-month
Progress Review. So your prompt reply is important. Please see the enclosed chart for the
specific progress expected for the 12-month Progress Review.
Why Progress Reviews are Important
As long as you are working with an EN or a State VR agency and making the expected
progress toward your work-related goals, Social Security will not conduct a medical
review to see if you are still disabled under their rules. A Progress Review is the way
Social Security decides if you are making enough progress with work and education to
continue to be excused from a medical review.
The Timely Progress Guidelines enclosed with this letter show how much progress you are
expected to make in each 12-month period to continue to be excused from a medical
review. If you aren’t making the expected progress, you will not be excused from a
medical review. However, you may continue to work with your EN or State VR agency
toward your goals.
EIN:
SSN:
SSA-L1373 (EF 04/08)

Notice Code: Q0002000

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MAXIMUS
If You Have Questions
If you have any questions regarding the Ticket to Work Program, please contact us at
1-866-968-7842 or TDD 1-866-833-2967. You may also write to us at the following
address:
MAXIMUS Ticket to Work
P. O. Box 1433
Alexandria, VA 22313

For help with general questions, you may call SSA at 1-800-772-1213, or you may write
or visit any Social Security office. SSA can also give you more information about other
employment support policies that help people with disabilities go to work. If you visit a
Social Security office, please bring this letter with you.
Sincerely,

MAXIMUS Ticket to Work Program

EIN:
SSN:
SSA-L1373 (EF 04/08)

Notice Code: Q0002000

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MAXIMUS
Timely Progress Guidelines
During Each 12-month Progress Review Period
st

1 -12 (by 12th month of ticket use) – complete 3 months of work at Trial Work Level
months (TWL), OR complete GED or high school diploma, OR complete 60% of a fulltime course load for an academic year in a college or technical/trade/vocational
training program, OR complete a combination of this work and education
requirement
2nd -12 (13th–24th month of ticket use) – complete 6 months of work at Trial Work Level
months (TWL), OR complete 75% of a full-time course load for an academic year in a
college or technical/trade/vocational training program, OR complete a
combination of this work and education requirement
3rd-12 (25th–36th month of ticket use) – complete 9 months of work at Substantial Gainful
months Activity (SGA) level, OR complete an additional full-time academic year of
study, OR complete a 2-year or 4-year college program, OR complete a 2-year
technical/trade/vocation training program, OR complete a combination of this
work and education requirement
4th-12 (37th–48th month of ticket use) – complete 9 months of work at Substantial Gainful
months Activity (SGA) level, OR complete an additional academic year of full-time
study, OR complete a combination of this work and education requirement
5th-12 (49th–60th month of ticket use) – complete 6 months of work at Substantial Gainful
months Activity (SGA) level with no SSDI and/or SSI cash benefits in months worked,
OR complete an additional academic year of full-time study, OR complete a
4-year degree program
6th-12 (61st–72nd month of ticket use) – complete 6 months of work at Substantial Gainful
months Activity (SGA) level with no SSDI and/ or SSI cash benefits in months worked,
OR complete a 4-year degree program
7th-12
(73rd– 84th month of ticket use) – complete 6 months of work at Substantial Gainful
months Activity (SGA) level with no SSDI and/or SSI cash benefits in months worked*
* The guidelines for any subsequent 12-month Progress Review are the same as for the 7th
12-month Progress Review.

EIN:
SSN:
SSA-L1373 (EF 04/08)

Notice Code: Q0002000

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