disability application

i’m putting in my disability application and this is my effort to organize and document that process in collaboration with my care team

checklist

cover letter & Q&A

my name is Haley Addams, i am a 30 year old disabled queer trans man and this is my application for disability.
i haven’t been able to work consistently or stably my entire adult life due to my autism, but in 2022 my chronic pain, fatigue, and illness made it impossible for me to work any job at all.
i found this to be true this past year in 2025 when after spending much time with doctors and physical therapists, doing my best to recover my mobility and functional capacity, i tried to work part-time (20 hrs/ week) at a non profit. i was only able to work one month of my several month contract because of my disability. after giving my resignation, i then spent all summer stuck in bed from the proceeding flare up the job caused.
so i am now putting in my disability application, in hopes that i can find some independence and increase my quality of life.
thank you,
Haley Addams

what are your disabling conditions?
what doctors & providers have information about your condition?
what is the contact information for your doctor?
do you have children?

no.

why can’t you work?
are you working?

no.

what are your dates of employment and past jobs?

see record below.

do you intend to apply for ssi?

yes.

do you have any remarks?

n/a

do you have anything to add?

not rn

when did you stop being able to work because of your disability?

September 2022

blue book listings

12.10: Autism Spectrum Disorder
Medical documentation of both of the following:

  1. Qualitative deficits in verbal communication, nonverbal communication, and social interaction; and
  2. Significantly restricted, repetitive patterns of behavior, interests, or activities.
    AND
    Extreme limitation of one, or marked limitation of two, of the following areas of mental functioning (see 12.00F):
  3. Understand, remember, or apply information (see 12.00E1).
  4. Interact with others (see 12.00E2).
  5. Concentrate, persist, or maintain pace (see 12.00E3).
  6. Adapt or manage oneself (see 12.00E4).

medical timeline

medical records

doctor’s letters

RFC forms

work history

job title, dates
place
how many hours/ wk, reasons for leaving/ reasons i can’t work that job now

barista/ housekeeper,
Mercy Ships
32 hrs/ week;
data entry,
Mercy Ships
40 hrs/ week;
nanny/ babysitter,
private families
20 hrs/ week;
food service,
panera
30 hrs/ week;
twos teacher,
??? school????
40 hrs/ week;
line cook,
sonic
30 hrs/ week;
stocker,
hangers for hope
40 hrs/ week;
afterschool program coordinator,
songham martial arts
20 hrs/ week;
three’s teacher,
school????
40 hrs/ week;
group home care worker,
hope ???
40+ hrs/ week;
barista,
starbucks
25 hrs/ week;
floating teacher,
USA planet kids preschool
40 hrs/ week;
twos teacher
cuddlebugs learning center
40+ hrs/ week;
delivery driver
doordash
10 hrs/ week;
garden program intern,
growing hope
18 hrs/ week;

supporting documents