POMS Reference

NL 00701: Form Notices

A. Sample form

G-NL_00701.199A

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B. Purpose/Use

The SSA-L680 is used to inform student beneficiaries of the date their benefits will terminate, based on information supplied by the student on Form SSA-1390.

C. Preparation of form

The name of the beneficiary, claim number, and address can be obtained from the source document, SSA-1390 Report of Student Beneficiary About to Attain Age 19.