NL: Notices, Letters and Paragraphs
TN 1 (07-11)
AWD010 PIC “D” AWARD BETWEEN AGE 62 AND FULL RETIREMENT AGE (G05)
(Generated)
Caption: Other Social Security Benefits
Please get in touch with us 3 months before (1) (2) (3) to find out whether (4) for retirement benefits.
Fill-in values:
Fill-in (1)
Choice 1: you reach
Choice 2: beneficiary name reaches
Fill-in (2)
Choice 1: age 65
Choice 2: full retirement age
Fill-in (3)
Choice 1: NULL
Choice 2: real retirement age from FRA utility in below format:
(i.e., 66 and 2 months)
Fill-in (4)
Choice 1: you qualify
Choice 2: he qualifies
Choice 3: she qualifies
AWD011 OPENING PARAGRAPH FOR OTHER THAN “PIC-O” AWARDS IN “LAF-S” (OTHER THAN SD) (G09)
(System Generated)
Caption: None
We are writing to let you know that we have approved (1) application for (2) benefits. The rate is (3) beginning (4) , but (5) will not receive regular monthly checks at this time.
Fill-in values:
Fill-in (1)
Choice 1: your
Choice 2: Beneficiary's Name possessive
Fill-in (2)
Choice 1: disability
Choice 2: retirement
Choice 3: wife’s
Choice 4: husband’s
Choice 5: child’s
Choice 6: widow’s
Choice 7: widower’s
Choice 8: mother’s
Choice 9: father’s
Choice 10: disabled widow’s
Choice 11: disabled widower’s
Choice 12: disabled divorced widow’s
Choice 13: disabled divorced widower’s
Choice 14: NULL
Fill-in (3)
Amount
Fill-in (4)
MM/CCYY
Fill-in (5)
Choice 1: you
Choice 2: he
Choice 3: she
AWD012 INTRODUCTORY STATEMENT CHANGE OF PAYEE AWARD BENEFICIARY OWN PAYEE (G48)
(System Generated)
Caption: None
We are writing to tell (1) that beginning (2) we will begin to send (3) checks directly. The rest of this letter will give (4) more information about this change.
Fill-in values:
Fill-in (1
Choice 1: you
Choice 2: Beneficiary's Name
Fill-in (2)
MM/CCYY
Fill-in (3)
Choice 1: your
Choice 2: his
Choice 3: her
Fill-in (4)
Choice 1: you
Choice 2: him
Choice 3: her
AWD013 INTRODUCTORY STATEMENT AWARDS (EXCEPT “PIC-O” OR “LAF-S") (G49)
(System Generated)
Caption: None
We are writing to let you know that (1) entitled to monthly (2) benefits from Social Security beginning (3) .
Fill-in values:
Fill-in (1)
Choice 1: you are
Choice 2: Beneficiary's name is
Fill-in (2)
Choice 1: disability
Choice 2: retirement
Choice 3: wife's
Choice 4: husband's
Choice 5: child's
Choice 6: widow's
Choice 7: widower's
Choice 8: mother's
Choice 9: father's
Choice 10: disabled widow's
Choice 11: disabled widower's
Choice 12: disabled divorced widow's
Choice 13: disabled divorced widower's
Choice 14: null
Fill-in (3)
MM/CCYY
AWD014 MBA Paragraph (B30)
(Requested/Generated)
Caption: Your Benefits
The following chart shows (1) benefit amount(s) before any deductions or rounding. The amount (2) may differ from (3) full benefit amount. When we figure how much to pay (4) , we must deduct certain amounts, such as Medicare premiums and worker's compensation offset. We must also round down to the nearest dollar.
Beginning Benefit
Date Amount Reason
(5) (6) (7)
NOTE: This UTI is flexible, to allow multiple repetitions of the three fill-ins. This allows it to be used once, and provide as many benefit amount, dates and reasons as are needed to explain the action, or more than once with the benefit amount, date and reason. An example of how to input this in the ENB is:
C*AWD014,12/2012,848.70,a,01/2013,871.90,a,12/2013,885.00,a. OR
C*AWD014,07/2013,910.40,a*AWD017,12/2013,924.10,a*AWD014,01/2014,925.10,a.
Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: your
Choice 2: Beneficiary's name, possessive
Fill-in (2) - Systems Generated
Choice 1: you actually receive
Choice 2: he actually receives
Choice 3: she actually receives
Fill-in (3) Systems Generated
Choice 1: your
Choice 2: his
Choice 3: her
Fill-in (4) Systems Generated
Choice 1: you
Choice 2: him
Choice 3: her
Fill-in (5) - Requested As A Date In Format MM/CCYY
Date displayed in format “September 2010”
Fill-in (6) - Requested As A Money Amount In Format Shown Below
Money amount displayed in format “$$$$$.¢¢”
Fill-in (7) - Requested As A One Position Alpha Character
Choice 1 (A): Entitlement began
Choice 2 (B): Cost of living adjustment
Choice 3 (C): Credit for additional earnings
Choice 4 (D): Benefits to another person began or ended
Choice 5 (E): Your own benefit increased
Choice 6 (F): His own benefit increased
Choice 7 (G): Her own benefit increased
Choice 8 (H): You became entitled to your own benefit
Choice 9 (I): He became entitled to his own benefit
Choice 10 (J): She became entitled to her own benefit
AWD015 (B30 and B33 Detail Line)
(System Generated)
Caption: Your Benefits
(1) (2) (3)
(1) (2)
Fill-in values:
Fill-in (1) - Requested As A Date In Format MM/CCYY
Date displayed in format “September 2010”
Fill-in (2) - Requested As A Money Amount In Format Shown Below
Money amount displayed in format “$$$$$.¢¢”
Fill-in (3) - Requested As A One Position Alpha Character
Choice 1 (A): Entitlement began
Choice 2 (B): Cost of living adjustment
Choice 3 (C): Credit for additional earnings
Choice 4 (D): Benefits to another person began or ended
Choice 5 (E): Your own benefit increased
Choice 6 (F): His own benefit increased
Choice 7 (G): Her own benefit increased
Choice 8 (H): You became entitled to your own benefit
Choice 9 (I): He became entitled to his own benefit
Choice 10 (J): She became entitled to her own benefit
AWD016 MBA Paragraph (B33)
(Requested)
Caption: Your Benefits
The following charts show (1) disability benefit amount(s) before any deductions or rounding. The first chart shows the amount(s) on (2) own record and the second chart shows (3) benefit amount(s) as a childhood disability beneficiary. The amount (4) may differ from (5) full benefit amount. When we figure how much to pay (6) , we must deduct certain amounts, such as Medicare premiums and worker's compensation offset. We must also round down to the nearest dollar.
Beginning Benefit
Date Amount Reason
(7) (8) (9)
NOTE: This UTI is flexible, to allow multiple repetitions of the three fill-ins. This allows it to be used once, and provide as many benefit amount, dates and reasons as are needed to explain the action, or more than once with the benefit amount, date and reason. An example of how to input this in the ENB is:
C*AWD016,12/2012,848.70,a,01/2013,871.90,a,12/2013,885.00,a. OR
C*AWD016,07/2013,910.40,a*AWD016,12/2013,924.10,a*AWD0167,01/2014,925.10,a.
Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: your
Choice 2: Beneficiary's name, possessive
Fill-in (2) – Systems Generated
Choice 1: your
Choice 2: his
Choice 3: her
Fill-in (3) – Systems Generated
Choice 1: your
Choice 2: his
Choice 3: her
Fill-in (4) – Systems Generated
Choice 1: you actually receive
Choice 2: he actually receives
Choice 3: she actually receives
Fill-in (5) – Systems Generated
Choice 1: your
Choice 2: his
Choice 3: her
Fill-in (6) – Systems Generated
Choice 1: you
Choice 2: him
Choice 3: her
Fill-in (7) - Requested As A Date In Format MM/CCYY
Date displayed in format “September 2010”
Fill-in (8) - Requested As A Money Amount In Format Shown Below
Money amount displayed in format “$$$$$.¢¢”
Fill-in (9) - Requested As A One Position Alpha Character
Choice 1 (A): Entitlement began
Choice 2 (B): Cost of living adjustment
Choice 3 (C): Credit for additional earnings
Choice 4 (D): Benefits to another person began or ended
Choice 5 (E): Your own benefit increased
Choice 6 (F): His own benefit increased
Choice 7 (G): Her own benefit increased
Choice 8 (H): You became entitled to your own benefit
Choice 9 (I): He became entitled to his own benefit
Choice 10 (J): She became entitled to her own benefit
AWD017 NEW RATE(S) AND EFFECTIVE DATE(S) DISPLAY DUAL ENTITLEMENT (B64)
(Requested)
Caption: Your Benefits
The following are (1) new benefit rates:
Beginning Rate On Rate On
Date This Record The Other Record
(2) (3) (4)
NOTE: This UTI is flexible, to allow multiple repetitions of the three fill-ins. This allows it to be used once, and provide as many benefit amount, dates and reasons as are needed to explain the action, or more than once with the benefit amount, date and reason. An example of how to input this in the ENB is:
C*AWD017,12/2012,848.00,164.00,01/2013,871.00,138.00,12/2013,885.00,140.00. OR
C*AWD017,07/2013,910.00,42.00*AWD017,12/2013,924.00,43.20*AWD017,01/2014,925.00,42.00.
Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: your
Choice 2: Beneficiary's name, possessive
Fill-in (2) - Requested As A Date In Format MM/CCYY
Date displayed in format “September 2010”
Fill-in (3) - Requested As A Money Amount In Format Shown Below
Money amount displayed in format “$$$$$.¢¢”
Fill-in (4) - Requested As A Money Amount In Format Shown Below
Money amount displayed in format “$$$$$.¢¢”