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Exhibit List Index

Claimant's Name

Daniel Armando Garcia 

Claimant's SSN


Claim Types

Disabled Individual 

CD Created

04/16/2015 02:30 PM EDT 

Payment Documents/Decisions
Items: 4
NoDescriptionDecision DateReceivedPageMarked
1ADDE: No RFC's: PRTF included08/12/201410No
2AInitial Disability Determination by State Agency, Title XVI08/19/20141No
3ADDE: No RFC's: PRTF included01/14/20159No
4AReconsideration Disability Determination by State Agency, Title XVI01/16/20151No
Jurisdictional Documents/Notices
Items: 7
NoDescriptionDocument DateReceivedPageMarked
1BT16 Notice of Disapproved Claim08/19/20145No
2BStatement of Good Cause for Untimely Filing10/30/20142No
3BRequest for Reconsideration10/30/20144No
4BRequest for Reconsideration10/30/20143No
5BT16 Disability Reconsideration Notice01/16/20156No
6BRequest for Hearing by ALJ03/09/20153No
7BRequest for Hearing Acknowledgement Letter03/26/201510No
Non-Disability Development
Items: 6
NoDescriptionDocument DateReceivedPageMarked
1DApplication for Supplemental Security Income Benefits05/01/201410No
2DCertified Earnings Records04/13/20152No
3DWHAT - Work History Assistant Tool04/13/20153No
4DNew Hire, Quarter Wage, Unemployment Query (NDNH)04/13/20151No
5DDetailed Earnings Query04/13/20153No
6DSummary Earnings Query04/13/20151No
Disability Related Development
Items: 7
NoDescriptionSourceDate FromDate ToReceivedPageMarked
1EEducation Records - Non MedicalSAN JOSE HIGH SCHOOL10/02/19975No
2EDisability Report - Field Office03/20/20143No
3EDisability Report - Adult05/01/20148No
4EDisability Report - Field Office10/30/20142No
5EDisability Report - Appeals10/30/20146No
6EDisability Report - Field Office03/23/20152No
7EDisability Report - Appeals03/23/20158No
Medical Records
Items: 6
NoDescriptionSourceDate FromDate ToReceivedPageMarked
1FHospital RecordsSan Joaquin General Hospital11/25/201311/26/20137No
2FMedical Source - No MER AvailableTELECARE/MODESTO MENTAL HEALTH02/25/20143No
3FCopy of Evidence RequestSAN JOSE HIGH SCHOOL05/19/201417No
4FCE PsychiatryMichael Cohn, Ph.D07/24/20147No
5FMedical Source - No MER AvailableDoctors Behavioral Health Center12/09/20143No
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