SI 00501: Eligibility Under the Supplemental Security Income (SSI) Provisions
TN 39 (08-04)
A. Exhibit 1 - Modernized Development Worksheet (MDW) to Cumberland
Send an MDW to the Cumberland FO (See MSOM MDW 001.002 - Instructions on Accessing the MDW).
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Complete the entire MDW and use the following information when completing the following fields.
Show “275” as the FO;
Show “DC” as the ID;
Complete applicant's contact information (e.g., name, foreign address and phone number, etc.);
If reporting a COA, in MISC show “Attention Military Children Overseas Coordinator”, date expected to join military parent overseas MM/DD/YY, and date case file mailed MM/DD/YY;
If reporting an Inquiry or Appeal Request, in MISC show “Attention Military Children Overseas Coordinator;
Show “MIL CHILD” as the ISSUE;
Show “T16CG” as the CATEGORY;
Document REMARKS with any available information in SI 00501.416B.1.;
If a protective writing is received, show the protective filing receipt date in REMARKS; and
If reporting an Appeal Request, show the date the Appeal Request was received.
NOTE: See MSOM MDW 001.003 for a description of the fields in MDWscreens.
B. Exhibit 2 - Routing Slip to Cumberland
C. Exhibit 3 – Cumberland Case Flag
