NL: Notices, Letters and Paragraphs
BASIC (04-14)
A. When to use notice
Use this notice to inform the person that there will be a delay in check replacement awaiting a decision regarding forgery or fraud determinations from Treasury or the Office of the Inspector General, respectively.
B. Limited Payability Notice for Replacement Check Delayed Pending Forgery or Fraud Determination
We are writing to you about [1] check(s) dated [2], which [3] told us [4] didn’t receive. We have asked the [5] to give us more information about the check(s). We will write to you again when we get that information.
If you have any questions, call us toll free at 1-800-772-1213 [6]. We can answer most questions over the phone. You can also write or visit any Social Security office.
The office that serves your area is:
District Office Address City, State Zip
If you do call or visit an office, please have this letter with you. It will help us answer your questions. If you plan to visit an office, you should call ahead to make an appointment. This will help us serve you more quickly.
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Fill-ins: |
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[1] |
Choice 1 - |
your |
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[2] |
Date of check(s), in format: May 3, 2011 |
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[3] |
Choice 1 - |
you |
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[4] |
you/he/she |
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[5] |
Choice 1 - |
Department of the Treasury |
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[6] |
or call your local Social Security office at (field office phone number is taken from the DOORS). |