A. Background

Procedures have been established for the direct submission of Supplemental Security Income Requests for Information (SSA-L1103s) directly to VA Regional Offices (VARO) in the States of Illinois, Indiana, Michigan, Minnesota, Ohio, and Wisconsin. Instructions for completing the SSA-L1103s and follow-up procedures for these States are provided.

Occasionally, VA records needed to respond to a SSA-L1103 are located in a VA facility other than the servicing VARO. When this occurs, the SSA-L1103 is forwarded to the appropriate VA facility, which will send the response directly to the requesting FO. The requesting FO will be notified when a SSA-L1103 is transferred to another VA facility. Any follow-ups should be made to the VA facility that is actually responding to the SSA-L1103.

B. Illinois

SSA-1103s submitted directly to the VARO should have a business reply mail envelope stapled to them. SSA-L1103s should be sent to:

If no response is received within 21 days, a copy of the SSA-L1103, annotated with the date of the original request, should be faxed (773–687–0344) to the Chicago (NNW), IL FO. The Chicago (NNW) FO will handle any needed follow-up with the VARO.

C. Indiana

SSA-L1103s may be faxed to the VARO at (317) 226-5178, to the attention of BSSI. Both sides of the SSA-L1103 should be faxed. SSA-L1103s can also be mailed to the VARO at:

A business reply envelope should be included with each mailed SSA-L1103 request.

The request should show the name and phone number of the SSA employee submitting the request. If there will be a delay in responding to the request, the VARO will advise the requesting SSA employee by telephone.

If no response is received from the VARO in 21 days, a follow-up may be made by fax or mail directly to the VARO. The same information that was included in the initial request should be provided. The follow-up SSA-L1103 should be annotated "Second Request" at the top.

D. Michigan

All SSA-L1103s should be submitted to:

Each request should include, if known, the name of the veteran and the claimant, the VA claim number, and the address and telephone number of the requesting FO.

If a response is not received within 30 days, a copy of the original SSA-L1103, annotated "Second Request," should be submitted to the above address.

E. Minnesota

All SSA-L1103s handled by the St. Paul, MN VARO should be sent to:

A return envelope should be included with each request.

If no response is received within 30 days, send a copy of the SSA-L1103, annotated "Second Request," to the above address, along with another return envelope.

F. Ohio

All SSA-L1103s should be submitted to:

Only the SSA-L1103 should be used (no free form requests). The SSA-L1103 should include the veteran's name, SSN, and the VA claim number, if known.

If a response is not received in 30 days, a legible copy of the original, annotated "Second Request," in red at the top, should be sent to the above address.

G. Wisconsin

All SSA-L1103s for the Wisconsin VARO should be submitted to:

If a response is not received within 45 days, a preferred follow-up method is an email to: Greg Silva, Coach Milwaukee Pension Center: greg.silva@vba.gov. If a voice contact is necessary, please call Greg Silva at (414) 902-5715.