Questions about how to use the forum?

Visit our new Frequently Asked Questions (FAQs) section.

Welcome, Guest. Please login or register.
Did you miss your activation email?
November 24, 2017, 06:10:03 PM

Login with username, password and session length


You are no longer alone ...

Author Topic: cdr long form 454 question  (Read 394 times)


  • ~ Copper ~
  • *
  • Posts: 11
  • People helped 1
cdr long form 454 question
« on: May 17, 2017, 02:19:26 PM »
Does anyone have a download for the form? I've made copies and now can't tell what's original haha. Specifically, page 13 with section 11 remarks. Is this a two sided page, and is the medical record authorization release form on the back side of page 13 or it's own separate page?


  • ~ Copper ~
  • *
  • Posts: 11
  • People helped 1
Re: cdr long form 454 question
« Reply #1 on: May 17, 2017, 02:31:10 PM »
Also, the instructions say bring prescription containers to my appointment at ssa office to turn in my cdr packet. Does it have to be my current bottles or can it be last months? Or what about just scanning the labels and taking those? That's what I did last time.


  • -
  • ~ Platinum ~
  • *
  • Posts: 1062
  • People helped 91
Re: cdr long form 454 question
« Reply #2 on: May 17, 2017, 07:15:24 PM »
This is the only pdf download I found:

It shouldn't matter if you bring last month's prescriptions vs. this month's if your prescriptions haven't changed. I also don't think it matters if you bring a scanned copy of the labels or the original bottles, but I'm not sure.
Location: IL
Age at Application: 31
Disability: Depression, anxiety
Applied: 11/2013
First Denial: 03/2014
Reconsideration Denial: 11/2014
Hearing: 11/13/15 (Friday the 13th!)
ALJ Approval: 01/15/16 Fully Favorable
Back Pay: 02/13/16
Award Letter: 02/17/16
1st monthly benefit: 03/21/16


If this site has helped you in any way please make a donation towards the running of it by clicking below.

Use Paypal by clicking below


  • Total Posts: 203527
  • Total Topics: 19963
  • Online Today: 75
  • Online Ever: 246
  • (June 25, 2012, 02:04:42 PM)
Users Online
Users: 4
Guests: 58
Total: 62


Prescription Drugs

Prescription Drug Assistance Programs

Please use the pull down menu below to select a prescription drug. 

This will instantly take you to that post in our forum.