BASIC (11-81)

001. FURTHER ASSISTANCE

If you have any further questions about  (a), (b), (c), or (d), please write to us again.

(a)

your social security record

(b)

the social security program

(c)

your claim

(d)

your social security number

003. 45-DAY CLOSEOUT

Our regulations do not permit us to keep your file open indefinitely. If we do not hear from you within 45 days from the date of this notice, we will be required to make a decision based on the evidence file.

005. INFORMAL DISALLOWANCE-6-MONTH NOTICE

However, this is not a formal determination. If you believe our findings are incorrect and you want a formal determination on your request for  (type of benefit), you will need to complete an application within 6 months of the date of this letter.

NOTE: Omit the following paragraph if request is for LSDP

Although in many instances applications have no retroactivity, some applications for monthly benefits can be retroactive for as many as 12 months before the month in which it is filed. If you complete your application within the 6-month period, we will use the date of your inquiry as the filing date.

If you want to file an application, please let us know by writing to the above address. We will send you the necessary forms. If you file, we will again review your records and make a formal determination of your entitlement to benefits. You will have the right to ask for a reconsideration if you do not agree with the formal determination on your claim.

007. INQUIRY WITHIN 60 DAYS OF FORMAL DETERMINATION

If you believe this decision is not correct, you have until  (60 days form the date of the receipt of the initial determination to ask that it be reexamined. You may request this by writing to us at the above address. If additional evidence is available, you should submit it with your request. If you have any questions about your claim, you should write to us.

008. INQUIRY RECEIVED AFTER COMPLETE EXPLANATION OF A DETERMINATION WAS SENT

Please refer to our letter  (a) which explains the findings on you claim. If you disagree with the decision, you should request  (b) or (c) on or before  (a) .

(a)

date

(b)

reconsideration

(c)

a hearing

009. REQUEST FOR INFORMATION OR FORMS

Please send the above to us as soon as possible. We suggest that you use AIRMAIL and the enclosed envelope for your reply.

010. REFERRAL TO FSP

If you need help with your claim, the people in the nearest United States Foreign Service post will be glad to assist you.

011. GENERAL CLOSING PARAGRAPH

If you have any questions about your claim and live in the United States, Canada, and Mexico, you may call, write, or visit any social security office. If you live in the Philippines, you should contact the Veterans Administration Regional Office, SSA Section 1131 Roxas Boulevard, Manila. All other persons may contact the nearest United States Foreign Service Post. If you visit an office, please take this letter with you.

If you prefer, you may write to us at Post Office Box 17769, Baltimore, Maryland, United States of America, 21203.