TN 3 (02-97)

A. Description

The SSA-L8166 is a blank form with preprinted appeal rights. This notice is available on DPS for completing the notice on a personal computer.

B. When to use

Issue an SSA-L8166 to notify:

• Individuals about actions that are initial determinations that do not change monthly payments amounts; or

• Individuals about representative payee issues requiring appeal rights; or

• A competent adult claimant or emancipated child claimant living in a foreign country that we have selected a representative payee.

C. Procedure — Competent Claimant

Issue an SSA-L8166 as a final notice (if an advance notice was not previously sent) to a competent claimant or emancipated child claimant living in a foreign country using the notice language in NL 00804.185 to explain payee selection. May also be used for a manual advance notice (See NL 00703.822 and NL 00703.769.).

D. References

• Representative payee language, NL 00703.821, NL 00703.824, NL 00703.825, NL 00703.828, and NL 00804.185.

• Advance notice requirements, NL 00703.763-NL 00703.769.

• Notice to parent/guardian re payee for child is continuing, NL 00703.826.

• Child will be paid directly, NL 00703.826.