REPORT

T HE SOCIAL SECURITY - D ISABILITY

A PPLICATION PROCESS
Recommendations for preparing for and
submitting the application

Bruce Gaughran

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TABLE OF CONTENTS
T ABLE OF CONTENTS .....................................................................................................................2
DISCLAIMER .................................................................................................................................3
A. ADVICE ON THE D ISABILITY PROCESS .........................................................................................4
B. T HE D ISABILITY APPLICATION PROCESS .....................................................................................5
C. S OCIAL S ECURITY DISABILITY ................................................................................................6
1. W HERE C AN YOU OBTAIN ADDITIONAL INFORMATION?....................................................................6
2. W HAT DOES T HE SSA MEAN B Y "DISABILITY"? ..............................................................................7
3. HOW DO Y OU APPLY? .................................................................................................................7
4. HOW YOU C AN S PEED UP Y OUR OWN C LAIM? ................................................................................7
5. W HO DECIDES I F YOU ARE DISABLED? ..........................................................................................7
6. HOW DOES T HE SSA DETERMINE DISABILITY?................................................................................8
D. WHAT HAPPENS WHEN A C LAIM IS APPROVED ? ....................................................................... 10
1. W HEN DO YOUR B ENEFITS S TART?.............................................................................................. 10
2. HOW MUCH W ILL YOU GET F ROM S OCIAL S ECURITY? ................................................................... 10
3. HOW DO O THER P AYMENTS A FFECT MY B ENEFITS?....................................................................... 10
4. ARE B ENEFITS T AXED? .............................................................................................................. 10
5. C AN YOU GET MEDICARE I F YOUR ARE DISABLED? ....................................................................... 11
6. IS YOUR C ASE R EVIEWED? ......................................................................................................... 11
7. W HAT C AN C AUSE B ENEFITS T O S TOP ?........................................................................................ 11
E. T HE APPEALS PROCESS WHAT HAPPENS IF MY C LAIM I S D ENIED? .......................................... 12
1. IF YOUR C LAIM I S DENIED .......................................................................................................... 12
2. C AN S OMEONE HELP ME W ITH T HIS P ROCESS? ............................................................................. 13
F. ADDITIONAL INFORMATION/PUBLICATIONS ............................................................................... 14
G. T HE SSA APPLICATION F ORM AND S UPPLEMENTAL INFORMATION ............................................. 15
1. APPLICATION F ORM ................................................................................................................... 15
2. S UPPLEMENTAL INFORMATION ................................................................................................... 15
3. EXAMPLES ............................................................................................................................... 16

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DISCLAIMER
The information and recommendation contained in this guide are the opinions of the author and are
based upon his experiences while preparing his Social Security Disability application. Anyone
reading this guide agrees to the following conditions.
The information provided in this guide should not to be considered legal advice. The guide should
also not be considered a substitute for the advice of a trained legal professional or the Social Security
Administration. This information should not be used as the only source for preparing your Social
Security Disability application. It is recommended that you consult with the Social Security
Administration, and if desired, a legal professional before starting the application process.
In developing this guide, the author used the Social Security Administrations website
(h t t p : / / w w w . s s a . g o v / d i s a b i l i t y / ) for much of the format and information provided within this guide.
The author did this to help maintain continuity should a reader decide to use the information for
preparing the Disability Application. However, information provided by the Social Security
Administration and its website should be considered the authority.
The author has made a reasonable effort to ensure that all information provided is accurate, but as with
any living document, errors might occur. It is entirely the responsibility of the reader to determine the
validity of any information provided. Any decisions made based upon the information received from
this guide are entirely the readers responsibility.
The author, as well as the Kennedys Disease Association, makes no representation or warranties about
the information provided within this guide, including any other items used directly or indirectly. The
author reserves the right to make changes and corrections to this guide at any time, without notice.
The author and the Kennedys Disease Association does not accept any liability for any direct, indirect,
special or consequential damages, or any other damages of any kind resulting from any cause through
the use of any information obtained either directly or indirectly from this guide.

Author:

Bruce Gaughran

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A. A DVICE

ON THE

D I S A B I L I T Y PR O C E S S

A doctor who reviewed disability claims for a Fortune 100 company gave me the following advice on the
disability application process.

Apply immediately do not wait until you are totally disabled before beginning the process.

Be patient. The process takes time 90 -120 days is not uncommon before hearing the results of
the application.

The disability process is no different from any other application process (e.g., home loan,
employment, etc.). Take the time to fill out the forms completely. Leave little to interpretation.

Remove your emotions from the application process. Think of it as a business deal your
business. Learn the rules of the game and make the rules work for you. The red-tape and
follow-up letters asking for additional information are all part of the game.

The disability process is written for people with a sudden illness or disability not for people with
progressive illnesses where there is no treatment or cure.

Remember that the Social Security Administration is a government agency. It is not uncommon
to have your application denied the first time. It is just part of the process.

I will add three more comments based upon my recent experiences with the Social Security
Administration.

The more information you can provide up front, the smoother the process will go.

Do not expect the reviewer to understand Kennedy's Disease or your specific situation. Take the
time to educate them.

The more prepared/organized you are, the better the chance for an immediate approval. (My
award was approved in six weeks)

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B. T H E D I S A B I L I T Y A P P L I C A T I O N P R O C E S S
As mentioned above, preparation is half the battle. Below are several comments on how to help ease
the reviewer (and others) through your disability application process.
1) Discuss with your manager your intentions and the need for their support.
2) Advise your doctor(s) and his/her staff that you are applying for Social Security-Disability benefits.
a) Ask the doctor(s) for his/her support.
b) Review your current symptoms and any health-related issues that affect your ability to perform
your current duties.
3) In the initial submission, provide the reviewer with as much information as possible the more the
better in this case.
a) The more information the reviewer has to work with initially, the less information he/she has to
write off for meaning a delay in the process.
i) The more information requested by the reviewer, the greater the chance the doctors office
will not be able to find it and/or it will be delayed.
b) If you control the information, you can make certain the most important information is in the front
and that the important sections are highlighted so the reviewer can easily find the critical
information he/she needs to make a decision.
c) Make certain the information submitted is readable and prioritized in the order you want it
presented.
d) Be sure to sign and date all the forms.
e) Use the Supplemental Section to educate the reviewer on what Kennedy's Disease (SBMA) is,
its symptoms, its treatment, etc.
4) Provide the information in a report format tabbed, with page numbers and a table of contents, etc. so the reviewer can easily locate the information he/she is looking for.
5) Keep a copy of everything submitted just in case.
a) Prepare a three-ring binder with the major sections tabbed.
i) In this way all of your information is in one place and easy to find.
ii)
The information should be in the same order and page numbers as submitted with the
disability application.
b) If called, refer to the information by section and page number so the reviewer can easily find the
information he/she is looking for.
c) Take the binder with you to any reviews or hearings.
6) Be patient and responsive to follow-up inquiries by the reviewer.
7) If needed, follow-up with your doctor(s) to insure he/she has provided the requested information.

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C. S O C I A L S E C U R I T Y DI S A B I L I T Y

1 . WH E R E C A N Y O U O B T A I N A D D I T I O N A L I N F O R M A T I O N ?
If you have access to the Internet, most of the information shown below can be found at
h t t p : / / w w w . s s a . g o v / d i s a b i l i t y / . If you do not have access to the Internet, you can visit your local
Social Security Administration (SSA) office or call them toll-free at 1-800-772-1213.
When you sign on to the SSA Disability web site, you will see the following page.

By clicking on the Topics shown on the left side of the page, you will find answers to most of your
questions as well as most of the information you need to fill out an application. [Guide Note: Do not
hesitate to pick up the phone and call the SSA if you cannot find the answer or you need something
clarified]

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2 . WH A T D O E S T H E S S A M E A N B Y " D I S A B I L I T Y" ?
It is important that you understand how Social Security defines 'disability'. That is because other
programs have different definitions for disability. Some programs pay for partial disability or for short-term
disability. Social Security does not.
Disability under Social Security is based on your inability to work. You will be considered disabled if you
cannot do work you did before and they decide that you cannot adjust to other work because of your
medical condition(s). Your disability also must last or be expected to last for at least a year or to result in
death. [Guide Note: Progressive disorders are different and this is why you need to work with your
doctor in order to explain the gradual and continual loss of certain functions]
3 . HO W D O Y O U A P P L Y ?
You should apply at any Social Security office as soon as you become disabled. You may file by phone,
mail or by visiting the nearest office. Note that, while you may receive back benefits from the date you
became disabled, they are limited to one year before the date you filed for benefits.
4 . H O W Y O U C AN S P E E D U P Y O U R O W N C L A I M ?
It generally takes longer to process claims for disability benefits than other types of Social Security
claims from 60 to 90 days. You can help shorten the process by bringing certain documents with
you when you apply and helping the SSA to get any other medical evidence you need to show you are
disabled. These include:

The Social Security number and proof of age;

Names, addresses and phone numbers of doctors, hospitals, clinics and institutions that treated
you and dates of treatment;
Names of all medications you are taking;
Medical records from your doctors, therapists, hospitals, clinics and caseworkers;
Laboratory and test results;
A summary of where you worked and the kind of work you did;
A copy of your W-2 Form (Wage and Tax Statement), or, if you are self-employed, your federal
tax return for the past year; and
Dates of prior marriages and births of your children.

Do not delay filing for benefits just because you do not have all of the information you need. The Social
Security office will be glad to help you. [Guide Note: See Section B for additional ways to help speed up
the process by being proactive in the preparation and submission of documents]
5 . WH O D E C I D E S I F Y O U A R E D I S A B L E D ?
After helping you complete your application, the Social Security office will review it to see if you meet the
basic requirements for disability benefits. They will look at whether you have worked long enough and
recently enough, your age, etc. The office then will send your application to the Disability Determination
Services (DDS) office in your state. The DDS will decide whether you are disabled under the Social
Security law. The DDS will consider all the facts in your case. They will use the medical evidence from
your doctors and from hospitals, clinics or institutions where you have been treated and all the other
information they have.

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On the medical report forms, your doctors or other sources are asked for a medical history of your
condition:

What is wrong with you;

When it began;
How it limits your activities;
What the medical tests have shown; and
What treatment you have received.

They also are asked for information about your ability to do work-related activities, such as walking,
sitting, lifting, carrying, and remembering instructions. They are not asked to decide if you are disabled.
[Guide Note: This is why it is also important that you include your own personal information on why you
can no longer work]
The DDS may need more medical information before they can decide your case. If it is not available from
your current medical sources, they may ask you to go to a special examination called a 'consultative
examination'. Your doctor is the preferred source to do this examination but someone else may do it.
Social Security will pay for the examination and for certain travel expenses related to it.
Once they reach a decision on your claim, they will send you a letter. If your claim is approved, the letter
will show the amount of your benefit and when payments begin. If it is not approved, the letter will explain
why and tell you how to appeal if you do not agree.
6 . HO W D O E S T H E S S A D E T E R M I N E D I S A B I L I T Y?
You should be familiar with the process they use to determine if you are disabled. It is a systematic
process involving five questions. They are:
1.

Are you working?

If you are and your earnings average more than $800 a month, you generally cannot be
considered disabled. If you are not working, they go to the next step.

2.

Is your condition "severe"?

Your condition must interfere with basic work-related activities for your claim to be considered. If
it does not, they will find that you are not disabled. If it does, they will go to the next step.

3.

Is your condition found in the list of disabling impairments?

They maintain a list of impairments for each of the major body systems that are so severe they
automatically mean you are disabled. If your condition is not on the list, they have to decide if it is
of equal severity to an impairment on the list. If it is, they will find that you are disabled. If it is
not, they go to the next step. [Guide Note: Include in your description of KD a reference to the
diseases similarities to ALS (ALS is on the list of impairments)]

4.

Can you do the work you did previously?

If your condition is severe, but not at the same or equal severity as an impairment on the list, then
they must determine if it interferes with your ability to do the work you did previously. If it does
not, your claim will be denied. If it does, they go to the next step.

5.

Can you do any other type of work?

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If you cannot do the work you did in the past, they see if you are able to adjust to other work.
They consider your medical conditions and your age, education, past work experience and any
transferable skills you may have. If you cannot adjust to other work, your claim will be approved.
If you can, your claim will be denied. [Guide Note: Include some form of personal history
reflecting the progressive nature of the disorder]

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D. WH A T H A P P E N S WH E N A C L A I M I S A PPROVED ?
1 . WH E N D O Y O U R B E N E F I T S S T A R T ?
If your application is approved, your first Social Security benefits will be paid for the sixth full month after
the date your disability began. For example, if the SS finds that your disability began on January 15, your
first disability benefit will be paid for the month of July. Because Social Security benefits are paid in the
month following the month for which they are due, you would receive your July benefit in August. [Guide
Note: SSA likes to deposit your payment directly into your bank account. The deposits will be made at
the same time each month.]
2 . H O W M U C H WI L L Y O U G E T F R O M S O C I A L S E C U R I T Y ?
The amount of your monthly disability benefit is based on your lifetime average earnings covered by
Social Security. If you would like an estimate of your disability benefit, you can request a Social Security
Statement that displays your earnings record and provides an estimate of your disability benefit. The
request form is available by calling or visiting Social Security. You can also get the form from the SSA
Internet website.
3 . HO W D O O T H E R P A Y M E N T S AF F E C T M Y BE N E F I T S ?
Eligibility for other government benefits can affect the amount of your Social Security benefits. There are
several publications available from Social Security on this subject.
4 . AR E B E N E F I T S TA X E D ?
Some people have to pay federal income taxes on their Social Security benefits. This usually happens
only if your total income is high. At the end of the year, you will receive a Social Security Benefit
Statement (Form SSA -1099) showing the amount of benefits you received. Use the statement to
complete your federal income tax return if any of your benefits are subject to tax. For more information
about this tax, ask the Internal Revenue Service for a copy of Publication 915. In addition, you may
choose to have federal taxes withheld from your benefits.

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5 . C AN Y O U G E T M E D I C A R E I F Y O U R A R E D I S A B L E D ?
The SSA will automatically enroll you in Medicare after you get disability benefits for two years. [Guide
Note: Under certain conditions this waiting period can be waived]
Medicare has two partshospital insurance and medical insurance. Hospital insurance helps pay
hospital bills and some follow-up care. The taxes you paid while you were working financed this
coverage, so it is free. The other part of Medicare, medical insurance, helps pay doctors bills and other
services. You will pay a monthly premium for this coverage if you want it. Most people have both parts of
Medicare. [Guide Note: Before refusing coverage, understand any potential implications penalties,
waiting periods, etc.]
6 . I S Y O U R C ASE RE V I E W E D ?
In general, your benefits will continue as long as you are disabled. However, the SSA will review your
case periodically to see if you are still disabled. The frequency of the reviews depends on the expectation
of recovery.

If medical improvement is "expected," your case normally will be reviewed within six to 18
months.
If medical improvement is "possible," your case normally will be reviewed no sooner than three
years.
If medical improvement is "not expected," your case normally will be reviewed no sooner than
seven years. [Guide Note: Progressive disorders normally fall into this category]

7 . WH A T C A N C A U S E B E N E F I T S T O S T O P?
Two things can cause the SSA to decide that you are no longer disabled and to stop your benefits. Your
benefits will stop if you work at a level the SSA considers 'substantial'. Usually, average earnings of $800
or more a month are considered substantial. Your disability benefits also will stop if the SSA decides that
your medical condition has improved to the point that you are no longer disabled.
You must promptly report any improvement in your condition, your return to work and certain other events
as long as you are receiving benefits. These responsibilities are explained in the booklet you will receive
when benefits start.

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E. T H E A P P E A L S P R O C E S S WH A T H A P P E N S I F M Y C L A I M I S D ENIED ?

1 . I F Y O U R CL A I M I S D E N I E D
Social Security wants to be sure that every decision made about your Social Security claim is correct. The
SSA carefully considers all the information in your case before they make any decisions that affect your
eligibility or your benefit amount.
If the SSA decides that you are not eligible or no longer eligible for benefits, or that the amount of your
payments should be changed, they will send you a letter explaining their decision. If you do not agree
with the SSA decision, you can ask them to look at your case again. If you wish to appeal, you must
make your request in writing within 60 days from the date you receive the letter. The SSA assumes
you receive the letter five days after the date on it, unless you can show them you received it later. Call
your Social Security office if you need help with your appeal. There is more information about appeals
available from the SSA.
When you ask for an appeal, the SSA will look at the entire decision, even those parts that were in your
favor. If their decision was wrong, they will change it. There are four levels of appeal. They are (a)
Reconsideration, (b) Hearing by an administrative law judge, (c) Review by the Appeals Council, and (d)
Federal court review.
(a) Reconsideration
Reconsideration is a complete review of your claim by someone who did not take part in the first
decision. They will look at all the evidence submitted when the original decision was made, plus
any new evidence.
Most Reconsiderations involve a review of your files without the need for you to be present.
However, when you appeal a decision that you are no longer eligible for disability benefits
because your condition has improved, you have a choice of a file review or meeting with a Social
Security representative to discuss your case. You can meet with a disability-hearing officer and
explain why you believe you still have a disability.
(b) Hearing
If you disagree with the reconsideration decision, you may ask for a hearing. An administrative
law judge who had no part in the first decision or the reconsideration of your case will conduct the
hearing. The hearing is usually held within 75 miles of your home. The administrative law judge
will notify you of the time and place of the hearing.
You and your representative, if you have one, may come to the hearing and explain your case in
person. You may look at the information in your file and give new information. The administrative
law judge will question you and any witnesses you bring to the hearing. You or your
representative also may question the witnesses.
It is usually to your advantage to attend the hearing. If you do not wish to do so, you must tell
them in writing that you do not want to attend. Unless the administrative law judge believes your
presence is needed to decide the case, he or she will make a decision based on all the
information in your case, including any new information given. After the hearing, the SSA will
send you a letter and a copy of the administrative law judge's decision.

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(c) Appeals Council

If you disagree with the hearing decision, you may ask for a review by Social Security's Appeals
Council. They will be glad to help you ask for this review.
The Appeals Council looks at all requests for review, but it may deny a request if it believes the
hearing decision was correct. If the Appeals Council decides to review your case, it will either
decide your case itself or return it to an administrative law judge for further review. You will
receive a copy of the Appeals Council's decision or order sending it back to an administrative law
judge.
(d) Federal Court
If you disagree with the Appeals Council's decision or if the Appeals Council decides not to
review your case, you may file a lawsuit in a Federal District Court.
2 . C AN S O M E O N E H E L P M E W I T H TH I S P R O C E S S ?
Yes. Many people handle their own Social Security appeals with free help from Social Security.
However, you can choose a lawyer, a friend, or someone else to help you. Someone you appoint to help
you is called your 'representative'. The SSA will work with your representative just as they would work
with you.
Your representative can act for you in most Social Security matters and will receive a copy of any
decisions they make about your claim. Your representative cannot charge or collect a fee from you
without first getting written approval from Social Security. If you want more information about having a
representative, contact the SSA.

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F. AD D I T I O N A L I N F O R M A T I O N /P U B L I C A T I O N S
The following publications can be ordered through the Social Security Administration either through the Internet
(h t t p : / / w w w . s s a . g o v / d i s a b i l i t y / ) or by calling 1-800-772-1213.

Social Security Disability Benefits (Publication No. 05-10029)

What You Need To Know When You Get Disability Benefits (Publication No. 05-10153)
How Workers Compensation And Other Disability Payments May Affect Your Benefits (Publication No.
05-10018)
The Windfall Elimination Provision (Publication No. 05-10045)
Government Pension Offset (Publication No. 05-10007), a law that affects spou ses or widow(er)s
benefits
The Appeals Process (Publication No. 05-10041)
Social Security And Your Right To Representation (Publication No. 05-10075)
What You Need To Know When You Get Disability Benefits (Publication No. 05-10153)

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G. T H E SSA A PPL I C A T I O N F O R M

AND

SU P P L E M E N T A L I N F O R M A T I O N

1 . AP P L I C A T I O N F ORM

Disability Report-Adult-Form SSA-3368-BK

o This form can be downloaded from the SSA web site.
o The form can also be mailed to you by the SSA.
o The form is also available in a PDF format on the KDA web site (insert hyperlink to the file)

2. SUPPLEMENTAL INFORMATION

Cover Sheet [see example below]

Section 3 List of Duties and How Illness Impedes Performance [see example below]
Section 4 List of Doctors [see example below]
Additional Required Information [see example below]
Employment History [see example below]
Also enclose copies of web sites and magazine articles that will help educate the Review Board on SBMA
[possible examples]
o Primary Doctors Reports
o Neurologist Reports
o DNA Test Results
o List of current symptoms
o History of falls and injuries
o Information on SBMA (from Quest Magazine, and the MDA and KDA web sites
www.mdausa.org/disease/fasheet_sbma.html and
www.kennedysdisease.org/sbmasymptoms.html)
What is SBMA?
What are the symptoms?
How is it diagnosed?
How is it treated?

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3. EXAMPLES
a. Supplemental Information [Cover Sheet]

Claim for Long-Term Disability Benefits

Claimants Statement and Supporting Information

Supplemental Information

Attachment

Diagnosis from xxxx MDA certified doctor

Department of Neurology, University of xxxx

Initial Diagnosis from xxxxxx, MD

Neurology Consultants, xxxxx

Electromyography and Nerve Conduction Study

xxxx, MD

DNA report with a diagnosis of Kennedys Disease

Dated xxxxxx

Follow-up DNA report with a diagnosis of Kennedys Disease

Dated xxxxx

Short-Term Disability Statement from primary physician

xxxxx, MD, Dated

Current report of personal symptoms

Five -year history of falls and injuries

Kennedys Disease Fact Sheet and MDA

List of Kennedys Disease Symptoms from MDA

MDA article on Kennedys Disease (Quest Magazine)

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b. Supporting information to Claimants Statement (EForm 15983)

Section 3

List the duties at time of disability

o Amplify upon your specific work responsibilities including the hours that you perform
each of these duties [list duties with hours per week]
Xxxxx [30+ hours]
Xxxxx [5+ hours]
Xxxxx [15+ hours]
Xxxxx [2+ hours]
Xxxxx [1 hour]

Position and duties before being given lighter responsibilities due to the
progressive and degenerative nature of this health issue
o [In this section provide information on your duties/responsibilities prior to
experiencing the effects of Kennedy's Dise ase] [60+ hours/week]
Responsible for xxxx [30+ hours]
Supervise xxxx people [8-10 hours]
Xxxxx [10+ hours]

How does your illness impede your ability to do your occupational duties?
o Progressive loss of strength in the primary muscles and sensations in hands and feet
limits my ability to function consistently in a professional manner.
o Strength issues restrict my ability to xxxx this limitation has resulted in not being
able to accept xxxx promotions
[Once again amplify on what this means in your inability to perform your
current duties]
o Difficulty traveling to and from the office and to meetings in other locations within
the office complex [examples]
Difficulty standing or walking for more than a few minutes
Requires assistance in standing up from most chairs
Difficulty using restroom facilities (even handicapped accessible)
o Arm and hand strength limits ability to [examples: write reports, take notes, type,
carry/lift objects, etc.]
o Throat, tongue and jaw weakness limits ability to maintain a conversation, give
presentations, entertain customers, etc. [example]
Difficulty swallowing
o Loss of feeling and strength in the legs, feet, arms and hands when exposed to cold
temperatures (<50 F)
o Any normal work activity results in fatigue excess ive activities or stress results in
extreme fatigue and accelerated muscle wasting
o Experiences daily muscle and joint soreness, cramping and some pain. [examples]
Occasionally experiences severe pain (cramping) in neck, arms, hands, legs,
or jaw
o A ge neral weakness in the lungs [examples]
Difficulty clearing the lungs
Occasional loss of breath

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Section 4

Information about physicians and hospitals [Give the SSA as much information as you
can to help them contact your doctors]
o Primary Doctor
xxxxx, MD
Address
Telephone
Fax
o MDA Doctor
xxxxx, MD
Address
Telephone
Fax
o Neurologist (original)
xxxxx, MD
Address
Telephone
Fax
o Other Doctors or Hospitals
xxxxx, MD
Address
Telephone
Fax

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c. Additional Information Required by Social Security:

Military Service:
U. S. xxxx
Enlisted - xx/xx/xx
Last day of active service xx/xx/xx
Honorable Discharge xx/xx/xx
Marriage(s):
Xxxx [Spouse]
o DOB: xx/xx/xx
o Married xx/xx/xx in xxxx, XX
o Divorced xx/xx/xx in xxxx, XX [if divorced]
o Children xxxx
DOB: xx/xx/xx in xxxx, XX
[List additional spouses, as required - with the same information as shown above]

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d. Employment History Example

EMPLOYMENT

HISTORY

XXXX COMPANY
xxxx, XX

19XX 20XX

Title From: Xxx 20XX to Xxxx 20xx Explain your responsibilities, people supervised, hours
worked, compensation, and reason for leaving
Title Xxx 20XX to Xxxx 20xx Explain your responsibilities, people supervised, hours worked,
compensation, and reason for leaving

XXXX COMPANY
xxxx, XX

19XX 19XX

Title Xxx 20XX to Xxxx 20xx Explain your responsibilities, people supervised, hours worked,
compensation, and reason for leaving
Title Xxx 20XX to Xxxx 20xx Explain your responsibilities, people supervised, hours worked,
compensation, and reason for leaving

XXXX XXXX, INC.

xxxx, XX

19XX 19XX

Title Xxx 20XX to Xxxx 20xx Explain your responsibilities, people supervised, hours worked,
compensation, and reason for leaving
Title Xxx 20XX to Xxxx 20xx Explain your responsibilities, people supervised, hours worked,
compensation, and reason for leaving

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