POMS Reference

Table of contents Recent changes
Contact
Back

NL: Notices, Letters and Paragraphs

Effective Dates: 06/18/2013 - Present

BASIC (11-81)

A. Sample form

G-NL_00701.435A

Printer Friendly Version

B. Preparation of form

Refer to the latest Form SSA-3926-C2 or Form SSA-833-U5 in file for completing the name, address and claim number.

The benefit authorizer will provide all the necessary fill-ins on Form SSA-573.

Fill-ins:

  1. month and year disability ceased.

  2. last month and year benefits due.

Previous:
HI: Health Insurance
Up:
Table of Contents: SSA Program Operations Manual System (POMS)
Next:
VB: Special Veterans Benefits
The materials available at this web site are provided free of charge, for informational purposes only, and without warrant by True Link Financial, Inc., and are not legal advice or Social Security benefits advice. You should contact your attorney to obtain advice with respect to any particular issue or problem, or the Social Security Administration with any general inquiries. Click here to view this section of the POMS on the Social Security Administration website.