Sample Letter For Impairment Related Work Expense (Irwe)
ADVERTISEMENT
1
2Sample Letter for Impairment Related Work
Expense (IRWE)
To Modified by Individual
(Note: Make copies of all receipts enclosed, and make a copy of your
letter for your social security claim file)
______________________________________________________________________________
(Your return address)
( date_)
Social Security Administration
(address of local office)
Reference: (your social security claim number)
Dear Sirs:
I am writing to inform you of Impairment Related Work Expense (IRWE) in
connection with my employment (you may describe your employment here
if you
wish).
(Itemize any of the following for which you have paid during a month in
which you were working)
Medical costs related to my disability:
$ _______
Work related equipment:
$ _______
Interpreter or Reader Services:
$ _______
Residential modification to create a
working space at home, or providing
accessibility to outside employment:
$ _______
Services performed to help prepare for work:
$ _______
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business