Document text
Mandatory Reconsideration Request — PIP Reduced or Stopped After a Review
Full name: [YOUR FULL NAME]
Address: [YOUR ADDRESS]
Date of birth: [DATE OF BIRTH]
National Insurance number: [NI NUMBER]
Phone: [PHONE]
To: Personal Independence Payment, Department for Work and Pensions
[ADDRESS FROM YOUR DECISION LETTER]
[DATE]
Request for mandatory reconsideration of the PIP decision dated [DATE OF DECISION]
Dear Sir or Madam,
I ask you to reconsider your decision dated [DATE OF DECISION], made after the review of my Personal Independence Payment. The decision [ENDED MY AWARD / REDUCED MY DAILY LIVING PART FROM (RATE) TO (RATE) / REMOVED MY MOBILITY PART] from [DATE].
My previous award
On [DATE OF TRIBUNAL DECISION] the First-tier Tribunal (Social Security and Child Support), appeal reference [REFERENCE], awarded me [DAILY LIVING: RATE] and [MOBILITY: RATE] from [DATE] to [DATE]. The tribunal accepted the descriptors listed below. A copy of the decision notice [AND STATEMENT OF REASONS] is enclosed.
Why the new decision is wrong
My condition, [DIAGNOSIS], has not improved since the tribunal decision. [IT HAS GOT WORSE: DETAILS.] The decision does not explain what has changed.
Activity Tribunal descriptor and points New decision Why the tribunal descriptor still applies
[ACTIVITY, FOR EXAMPLE 4. WASHING AND BATHING] [DESCRIPTOR AND POINTS] [DESCRIPTOR AND POINTS] [WHAT I CANNOT DO SAFELY, TO AN ACCEPTABLE STANDARD, REPEATEDLY OR IN A REASONABLE TIME, AND ON HOW MANY DAYS]
[ACTIVITY] [DESCRIPTOR AND POINTS] [DESCRIPTOR AND POINTS] [EXPLANATION]
Under regulation 4(2A) of the Social Security (Personal Independence Payment) Regulations 2013, I can only be treated as able to do an activity if I can do it safely, to an acceptable standard, repeatedly and within a reasonable time. [EXPLAIN WHERE THE ASSESSMENT REPORT MISSED THIS — FOR EXAMPLE, IT RECORDED THAT I CAN WALK (DISTANCE) BUT NOT THAT I NEED TO STOP AND REST AFTER (DISTANCE), ON MOST DAYS.]
Evidence enclosed (not sent before; my name, date of birth and NI number are on each page):
[TRIBUNAL DECISION NOTICE OF (DATE)]
[LETTER FROM CONSULTANT OR SPECIALIST, DATED (DATE)]
[CARE PLAN, THERAPIST OR NURSE REPORT, OR A DIARY OF (NUMBER) WEEKS]
[IF LATE:] I am asking after one month because [REASON — FOR EXAMPLE, HOSPITAL STAY FROM (DATE) TO (DATE)].
Please send me the mandatory reconsideration notice in writing.
Yours faithfully,
____________________
[YOUR FULL NAME]
For me
[ ] Deadline: one month from the date on the decision letter — [DATE]; a written request must arrive by then
[ ] Copy of the review form, the assessment report and the tribunal decision kept
[ ] Proof of posting or note of the phone call (date, time, name) kept
[ ] If the notice still goes against me: appeal to the Social Security and Child Support Tribunal