NL 00725: Modernized Claims System (MCS) Notices
TN 24 (12-17)
SSAH01 First and Second Line Headings
Social Security Administration
Retirement, Survivors and Disability Insurance
SSAH02 Third Line Heading
Notice of Award
SSAH03 Third Line Heading
Notice of Disapproved Claim
SSAH04 Third Line Heading
Claim Information
SSAH05 Third Line Heading
Important Information
SSAH30 Payment Name and Address
Addressee
SSAH40 Return Address
Northeastern Program Service Center155-10 Jamaica Avenue
Jamaica, New York 11432-3898
SSAH41 Return Address
Mid-Atlantic Program Service Center300 Spring Garden Street
Philadelphia, Pennsylvania 19123-2992
SSAH42 Return Address
Southeastern Program Service Center1200 Rev. Abraham Woods, Jr. Blvd
Birmingham, Alabama 35285-0001
SSAH43 Return Address
Great Lakes Program Service Center600 West Madison Street
Chicago, Illinois 60661-2474
SSAH45 Return Address
Mid-America Program Service Center601 East Twelfth Street
Kansas City, Missouri 64106-2859
SSAH46 Return Address
Office of Central Operations1500 Woodlawn Drive
Baltimore, Maryland 21241-1500
SSAH47 Return Address
Office of Central OperationsP.O. Box 17769
Baltimore, Maryland 21235-7769 U.S.A.
Fill-ins for SSAH40 - SSAH47
(1) TELEPHONE CONTACT/CERTIFIED MAIL/null
(2) Actual telephone number in format ###-###-#### if number is available and if fill-in (1) = TELEPHONE CONTACT, otherwise null.
SSAS01 Signature
(Signature of Commissioner of Social Security)
First Name Last Name
Commissioner of Social Security
SSAS02 Signature
Social Security Administration
SSAS03 Signature
Social Security Administration
SSAS04 Signature
Social Security Administration
SSAS05 Signature
Social Security Administration
SSAS06 Signature
Social Security Administration
SSAS07 Signature
Social Security Administration
SSAS08 Signature
Social Security Administration
SSAS09 Signature
Social Security Administration