NL: Notices, Letters and Paragraphs
BASIC (05-11)
COA – Change of Address
COA002 BENEFITS RESUMED REQUESTED FORM HAS BEEN RETURNED (R01)
(Requested)
Caption: Your Benefits
We told you in an earlier letter that we would stop your payments. Now that we have the information we needed, we can start paying you again. We will pay you (1) beginning (2)
Fill-in values:
Fill-in (1) - Systems Generated
Money Amount
Fill-in (2) - Systems Generated
Date