POMS Reference

DI 33095: Exhibits

TN 1 (10-86)

To view form SSA-L1680, click View PDF.

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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