From 412f96d8ae196dffb14fb2c7f782519da3a46b4a Mon Sep 17 00:00:00 2001 From: medusa Date: Thu, 12 Feb 2026 22:20:46 +0000 Subject: [PATCH] Add personal/personal_statement.md --- personal/personal_statement.md | 48 ++++++++++++++++++++++++++++++++++ 1 file changed, 48 insertions(+) create mode 100644 personal/personal_statement.md diff --git a/personal/personal_statement.md b/personal/personal_statement.md new file mode 100644 index 0000000..3c3cdec --- /dev/null +++ b/personal/personal_statement.md @@ -0,0 +1,48 @@ +**Jason Dewaine Davis** +737 Summit Ridge +Lewisville TX 75077 +(940) 340-9369 + + +**Date:** 02/12/2026 + +**RE:** Jason Davis +**SSN:** 441-74-0923 +**Claim/File Number:** [if known] +**Subject:** Additional Information for SSA‑821 – Work Activity Report + +To the Social Security Administration Claims Representative, + +I am writing to provide additional context for the SSA‑821 Work Activity Report I am submitting. I want to be certain that my situation is clearly understood. + +**I did not work at all during the period from March 15, 2024, to the present.** +I was laid off from my last job on [insert date you last actually worked]. After my separation, I received a severance/lay‑off payment from my employer. This is the income reported in Question 2 of the SSA‑821. I did not perform any work—not a single day—for that money, nor did I seek or obtain any other employment during this time. + +**The reason I did not work is that I was completely disabled by severe major depressive disorder with catatonic features.** +During this period I experienced prolonged episodes where I was essentially non‑functional. I would lie on the couch for hours—often an entire day—unable to move, speak, or initiate even the smallest task. I vividly recall staring at the clock and perceiving the hour hand moving as quickly as a second hand; time itself had lost all meaning for me. I felt utterly alone, trapped in my own body, and I struggled daily with suicidal ideation. I could not concentrate, could not interact with others, and could not have sustained even a simple, sedentary job. + +I have not worked since my layoff because my condition made it impossible to search for work, attend interviews, or perform any job duties. I remained at home, often isolated, and relied on my severance pay to survive. + +I am under the care of [doctor’s name, if you have one] and my medical records document this period of disability. I have authorized SSA to obtain those records. + +I hope this statement helps clarify why no work activity appears on the SSA‑821 and why I am unable to engage in substantial gainful activity. Please contact me if you need any further information. + +Sincerely, + +**Jason Davis** +[Signature] +[Printed Name] + +--- + +## ✅ **What to do with this statement** + +1. **Type it** (or print it clearly) on a blank sheet of white paper. +2. **Attach it** behind your completed SSA‑821 form, **before** you mail or fax. +3. **Keep a copy** for yourself. + +This statement does **not** replace medical records or the formal function report—but it gives the person reading your file a human connection to your case. Many disability examiners have said that a well‑written claimant statement can make a real difference. + +If you don’t have a doctor’s name yet, simply remove that sentence. If you want to add more details (e.g., specific dates, how you spent your days), you can expand it. + +Would you like me to adjust the tone, shorten it, or add any other specific details you haven’t shared yet? \ No newline at end of file