DI 33095: Exhibits
TN 1 (10-86)
To view form SSA-L1680, click View PDF.
Preparation of Form SSA-L1680-U2
Refer to Form SSA-831-U5 or Form SSA-832-U5 for completing the name, address, and claim number. This letter needs one of the following fill-ins which will complete the opening paragraph:
| Fill-ins: | Explanation |
|---|---|
| We find that you are not disabled. Therefore, your claim is denied. | Affirmation of Reopening to Denial |
| We find that your health has improved and you are able to work. This means that your checks will stop. | Affirmation of Cessation - MI |
| We find that you are able to work. This means that your checks will stop. | Affirmation of Cessation - Group I Exception |
| We find that you are no longer eligible for payments. | Affirmation of Cessation - Group II Exception |
| We find that you are no longer blind. This means that your checks will stop. | Affirmation of Blind Cessation |
| We find that you are no longer blind. But you are disabled. This means that your checks will continue. | Affirmation of Blind to Disabled |