TN 20 (10-91)

1042. Situation Where Used:

Denial due to lack of disability—claimant received presumptive disability payments and is overpaid due to nondisability factor(s).

Since    (1)    not eligible to receive Supplemental Security Income payments, the payment of    (2)    which we gave     (3)           (4)    while we were working on    (5)    claim is an overpayment.

1. Choice 1 - you are

   Choice 2 - she is

   Choice 3 - he is

    

2. $$$.¢¢

    

3. Choice 1 - you

   Choice 2 - her

   Choice 3 - him

    

4. Choice 1 - in (Month/Year)

   Choice 2 - Null

    

5. Choice 1 - your

   Choice 2 - her

   Choice 3 - his

    

1187. Situation Where Used:

Award for one member of couple—presumptive disability payments being made to other member pending disability determination.

While we are making a final determination about whether    (1)    spouse is    (2)    , we will send payments for    (3)    spouse for up to 3 months. If a determination is not made within the 3 month period, payments for    (4)    spouse will be stopped and    (5)    payment will be adjusted.

1. Choice 1 - your

   Choice 2 - her

   Choice 3 - his

    

2. Choice 1 - disabled

   Choice 2 - blind

    

3. Choice 1 - you and your

   Choice 2 - her and her

   Choice 3 - him and his

    

4. Choice 1 - your

   Choice 2 - her

   Choice 3 - his

    

5. Choice 1 - your

   Choice 2 - her

   Choice 3 - his

    

1416. Situation Where Used:

Presumptive disability payments stopped pending final determination.

We will be in touch with    (1)    when the determination is made about whether    (2)          (3)    . If the determination is that    (4)    eligible to receive Supplemental Security Income payments, we will resume payments, including any back payments due.

1. Choice 1 - you

   Choice 2 - her

   Choice 3 - him

    

2. Choice 1 - you are

   Choice 2 - she is

   Choice 3 - he is

    

3. Choice 1 - disabled

   Choice 2 - blind

    

4. Choice 1 - you are

   Choice 2 - she is

   Choice 3 - he is

    

1418.  Situation Where Used:

Presumptive disability payments pending final determination.

The monthly payment amount is based on the information currently in our records. When a final decision is made about    (1)           (2)    , a final determination about    (3)    payment amount will be made.

1. Choice 1 - your

   Choice 2 - her

   Choice 3 - his

    

2. Choice 1 - disability

   Choice 2 - blindness

    

3. Choice 1 - your

   Choice 2 - her

   Choice 3 - his

1419.  Situation Where Used:

Reminder to cooperate—presumptive disability payments made.

   (1)    prompt cooperation is necessary if    (2)    contacted by the State agency or district office.

1. Choice 1 - Your

   Choice 2 - Her

   Choice 3 - His

    

2. Choice 1 - you are

   Choice 2 - she is

   Choice 3 - he is

1420.  Situation Where Used:

Lead-in paragraph for presumptive disability cases.

This refers to    (1)    for Supplemental Security Income payments.

1. Choice 1 - your claim

   Choice 2 - the claim of (Name of Claimant)

1421.  Situation Where Used:

Presumptive disability payments awarded.

While we are making a final determination about whether    (1)          (2)    , we will send    (3)    for up to 3 months. If a determination is not made within the 3 month period, payments will be stopped. If    (4)    found to be eligible to receive Supplemental Security Income payments, we will resume payments including any back payment due.

1. Choice 1 - you are

   Choice 2 - (Name of Claimant) is

    

2. Choice 1 - disabled

   Choice 2 - blind

    

3. Choice 1 - you payments

   Choice 2 - your representative payee payments for you

    

4. Choice 1 - you are

   Choice 2 - she is

   Choice 3 - he is

1422.  Situation Where Used:

Presumptive disability payments stopped after 3 months—final determination pending.

We have not yet made a final determination about whether    (1)           (2)    . Since no more than 3 months' payments can be sent to    (3)    while we are making this determination, no further payments can be made at this time.

1. Choice 1 - you are

   Choice 2 - (Name of Claimant) is

    

2. Choice 1 - disabled

   Choice 2 - blind

    

3. Choice 1 - you

   Choice 2 - your representative payee for you

1423.  Situation Where Used:

Presumptive disability payments made (3 months' payments paid in one check).

We have not yet made a final determination about whether    (1)           (2)    . However, we are sending    (3)    for 3 prior months of possible entitlement. Since no more than 3 months' payments can be made while we are making this determination, no further payments can be made at this time.

1. Choice 1 - you are

   Choice 2 - (Name of Claimant) is

    

2. Choice 1 - disabled

   Choice 2 - blind

    

3. Choice 1 - your payments

   Choice 2 - your representative payee payments for you