NL: Notices, Letters and Paragraphs
BASIC (05-11)
MISR02 MISINFORMATION ESTABLISHED (B75)
(Requested)
Caption: Your Benefits
You filed an application for benefits (1) on (2) . You said (3) did not file earlier because we gave misinformation on (4) . We can give (5) an earlier filing date if:
(6) did not file for benefits before (7) because we misinformed (8) about (9) eligibility for these benefits, and
(10) did not get benefits (11) could have.
We looked at the facts and found that we did misinform (12) . Therefore, (13) correct filing date is (14) . The beginning date for (15) benefits is based on this date. (16)
Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: for plus client fullname
Choice 2: null
Fill-in (2) - Requested As A Date In Format MM/DD/CCYY
Choice 1: DOF MMCCYY
Fill-in (3) - Systems Generated
Choice 1: beneficiary name
Choice 2: you
Fill-in (4) - Requested As A Date In Format MM/DD/CCYY
Choice 1: Date of alleged misinformation MM/CCYY
Fill-in (5) - Systems Generated
Choice 1: beneficiary Name
Choice 2: you
Fill-in (6) - Systems Generated
Choice 1: beneficiary Name
Choice 2: you
Fill-in (7) - Systems Generated
Choice 1: DOF MM/CCYY
Fill-in (8) - Systems Generated
Choice 1: him
Choice 2: her
Choice 3: you
Fill-in (9) - Systems Generated
Choice 1: your
Choice 2: Name Possessive
Fill-in (10) - Systems Generated
Choice 1: he
Choice 2: she
Choice 3: you
Fill-in (11) - Systems Generated
Choice 1: he
Choice 2: she
Choice 3: you
Fill-in (12) - Systems Generated
Choice 1: beneficiary Name
Choice 2: you
Fill-in (13) - Systems Generated
Choice 1: your
Choice 2: Beneficiary Name possessive
Fill-in (14) - Requested As A Date In Format Shown Below
Choice 1: Date of deemed filing MM/DD/CCYY
Fill-in (15) - Systems Generated
Choice 1: his
Choice 2: her
Choice 3: you
Fill-in (16) - Systems Generated
Choice 1: This is the earliest date, after we gave misinformation, that you met all requirements for these benefits.
Choice 2: null
MISR03 MISINFORMATION DETERMINATION PENDING OR NOT ESTABLISHED (B76)
(Requested)
Caption: Your Benefits
You filed an application for benefits (1) on (2) . You said (3) did not file earlier because we gave misinformation on (4) . We can give (5) an earlier filing date if:
(6) did not file for benefits before (7) because we misinformed (8) about (9) eligibility for these benefits, and
(10) did not get benefits (11) could have.
Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: for + beneficiary Name
Choice 2: null
Fill-in (2) - Requested As A Date In Format Shown Below
Choice 1: date of filing MM/DD/CCYY
Fill-in (3) - Systems Generated
Choice 1: beneficiary name
Choice 2: you
Fill-in (4) - Requested As A Date In Format Shown Below
Choice 1: date of alleged misinformation MM/DD/CCYY
Fill-in (5) - Systems Generated
Choice 1: beneficiary Name
Choice 2: you
Fill-in (6) - Systems Generated
Choice 1: beneficiary Name
Choice 2: you
Fill-in (7) - Systems Generated
Choice 1: date of filing MM/CCYY
Fill-in (8) - Systems Generated
Choice 1: him
Choice 2: her
Choice 3: you
Fill-in (9) - Systems Generated
Choice 1: your
Choice 2: Name possessive
Fill-in (10) - Systems Generated
Choice 1: he
Choice 2: she
Choice 3: you
Fill-in (11) - Systems Generated
Choice 1: he
Choice 2: she
Choice 3: you
MISR04 MISINFORMATION ESTABLISHED BEFORE EFFECTIVE DATE OF LAW (B77)
(Requested)
Caption: Your Benefits
You filed an application for benefits (1) on (2) . We can give (3) an earlier filing date if:
(4) did not file for these benefits before (5) because we misinformed (6) about (7) eligibility for these benefits, and
-
(8) did not get benefits (9) could have.
You said (10) did not file earlier because we gave misinformation on (11) . The law allows us to give (12) an earlier filing date if we misinformed (13) on or after January 1, 1983. Since you said we gave the misinformation before January 1, 1983, we are sorry but we cannot give (14) an earlier filing date.
Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: Beneficiary's Name
Choice 2: null
Fill-in (2) - Requested As A Date In Format MM/DD/CCYY
Choice 1: date of filing
Fill-in (3) - Systems Generated
Choice 1: Name
Choice 2: you
Fill-in (4) - Requested As A One Position Alpha Character
Choice A: you
Choice B: the person who acted for you
Choice C: the person who acted for + Benename
Fill-in (5) - Requested As A Date In Format MM/DD/CCYY
Choice 1: date of filing
Fill-in (6) - Systems Generated
Choice 1: him
Choice 2: her
Choice 3: you
Fill-in (7) - Systems Generated
Choice 1: your
Choice 2: Name (possessive)
Fill-in (8) - Systems Generated
Choice 1: he
Choice 2: she
Choice 3: you
Fill-in (9) - Systems Generated
Choice 1: he
Choice 2: she
Choice 3: you
Fill-in (10) - Systems Generated
Choice 1: see comments
Fill-in (11) - Requested As A Date In Format MM/DD/CCYY
Choice 1: date of alleged misinformation
Fill-in (12) - Systems Generated
Choice 1: Name
Choice 2: you
Fill-in (13) - Systems Generated
Choice 1: him
Choice 2: her
Choice 3: you
Fill-in (14) - Systems Generated
Choice 1: him
Choice 2: her
Choice 3: you