Social Security Administration
Exhibit List Index
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Exhibit List Index
Claimant's Name
Daniel Armando Garcia
Claimant's SSN
553-65-0649
Claim Types
Disabled Individual
CD Created
04/16/2015 02:30 PM EDT
Payment Documents/Decisions
Items: 4
No
Description
Decision Date
Received
Page
Marked
1A
DDE: No RFC's: PRTF included
08/12/2014
10
No
2A
Initial Disability Determination by State Agency, Title XVI
08/19/2014
1
No
3A
DDE: No RFC's: PRTF included
01/14/2015
9
No
4A
Reconsideration Disability Determination by State Agency, Title XVI
01/16/2015
1
No
Jurisdictional Documents/Notices
Items: 7
No
Description
Document Date
Received
Page
Marked
1B
T16 Notice of Disapproved Claim
08/19/2014
5
No
2B
Statement of Good Cause for Untimely Filing
10/30/2014
2
No
3B
Request for Reconsideration
10/30/2014
4
No
4B
Request for Reconsideration
10/30/2014
3
No
5B
T16 Disability Reconsideration Notice
01/16/2015
6
No
6B
Request for Hearing by ALJ
03/09/2015
3
No
7B
Request for Hearing Acknowledgement Letter
03/26/2015
10
No
Non-Disability Development
Items: 6
No
Description
Document Date
Received
Page
Marked
1D
Application for Supplemental Security Income Benefits
05/01/2014
10
No
2D
Certified Earnings Records
04/13/2015
2
No
3D
WHAT - Work History Assistant Tool
04/13/2015
3
No
4D
New Hire, Quarter Wage, Unemployment Query (NDNH)
04/13/2015
1
No
5D
Detailed Earnings Query
04/13/2015
3
No
6D
Summary Earnings Query
04/13/2015
1
No
Disability Related Development
Items: 7
No
Description
Source
Date From
Date To
Received
Page
Marked
1E
Education Records - Non Medical
SAN JOSE HIGH SCHOOL
10/02/1997
5
No
2E
Disability Report - Field Office
03/20/2014
3
No
3E
Disability Report - Adult
05/01/2014
8
No
4E
Disability Report - Field Office
10/30/2014
2
No
5E
Disability Report - Appeals
10/30/2014
6
No
6E
Disability Report - Field Office
03/23/2015
2
No
7E
Disability Report - Appeals
03/23/2015
8
No
Medical Records
Items: 6
No
Description
Source
Date From
Date To
Received
Page
Marked
1F
Hospital Records
San Joaquin General Hospital
11/25/2013
11/26/2013
7
No
2F
Medical Source - No MER Available
TELECARE/MODESTO MENTAL HEALTH
02/25/2014
3
No
3F
Copy of Evidence Request
SAN JOSE HIGH SCHOOL
05/19/2014
17
No
4F
CE Psychiatry
Michael Cohn, Ph.D
07/24/2014
7
No
5F
Medical Source - No MER Available
Doctors Behavioral Health Center
12/09/2014
3
No
6F
Copy of Evidence Request
DOCTORS BEHAVIORAL HEALTH CTR
3
No