POMS Reference

NL 00701: Form Notices

See DI 13095.155.

Preparation of form

Refer to Form SSA-833-U5 for completing the name, address and claim number. This notice will be designated in the LTR/PAR NO. block of Form SSA-833-U5. The notice will be shown followed by the block number(s) to be checked; the appropriate fill-in for the block, enclosed in parentheses. (e.g., L1013-1 (8 /82), 2(6)). Any additional paragraphs, if applicable, will also be shown.