SSA-1
|
Application for Retirement Benefits
|
UNTIL paper claims file is destroyed.
|
SSA-2-F6
|
Application for Spouse Insurance Benefits
|
UNTIL paper claims file is destroyed.
|
SSA-3
|
Marriage Certification
|
UNTIL paper claims file is destroyed.
|
SSA-4-BK
|
Application for Child Insurance Benefits
|
UNTIL paper claims file is destroyed.
|
SSA-5-F6
|
Application for Mother or Father Insurance Benefits
|
UNTIL paper claims file is destroyed.
|
SSA-7-F6
|
Application for Parent Insurance Benefits
|
UNTIL paper claims file is destroyed.
|
SSA-8-F4
|
Application for Lump Sum Death Payment
|
PAPERLESS LSDP ONLY CLAIMS Destroy 60 DAYS after verification of systems acceptance of LSDP action. ALL OTHER
LSDP / SURVIVOR CLAIMS UNTIL paper claims file is destroyed.
|
SSA-10-BK
|
Application for Widow(er) Insurance Benefits
|
UNTIL paper claims file is destroyed.
|
SSA-11-BK
|
Request to be Selected as Payee
|
UNTIL paper claims file is destroyed.
|
SSA-16-F6
|
Application for Disability Insurance Benefits
|
UNTIL paper claims file is destroyed.
|
SSA-19-F6
|
Application for Special Age 72-or-Over Monthly Payments
|
UNTIL paper claims file is destroyed.
|
SSA-21
|
Supplement of Claim of Person Outside the U.S.
|
UNTIL paper claims file is destroyed.
|
VA-21-4182
|
Abbreviated Application for VA Benefits
|
Do NOT retain unless used for protective filing; then retain UNTIL paper claims file
is destroyed.
|
VA-21-8046
|
VA Payment Notice (Stop-Suspend-Resume)
|
Do NOT retain.
|
SSA-24
|
Application for Survivor Benefits
|
UNTIL paper claims file is destroyed.
|
SSA-25
|
Certificate of Election for Reduced Spouse Benefits
|
UNTIL paper claims file is destroyed.
|
BRI-46-289
|
Inquiry from OPM
|
Do NOT retain.
|
VA-70-7210
|
Request for Index and Locator Information
|
Do NOT retain.
|
SSA-101-U3
|
Determination of Award - Manual
|
UNTIL paper claims file is destroyed.
|
SSA-L106
|
School Certification of Birth Data
|
Destroy 120 DAYS after receipt and verification of systems acceptance or the discrepancy
is closed.
|
SSA-122
|
Request for Additional Information
|
Do NOT retain.
|
SSA-149
|
Waiver of Benefit Payments.
|
UNTIL paper claims file is destroyed.
|
SSA-150
|
Modified Benefit Formula Questionnaire for the Windfall Elimination Provision (WEP)
|
UNTIL paper claims file is destroyed.
|
SSA-174
|
Representative Payee Diary Card
|
Do NOT retain.
|
SF-180
|
Request Pertaining to Military Service Records
|
Do NOT retain.
|
SSA-208
|
Authorization for Garnishment
|
UNTIL paper claims file is destroyed.
|
SSA-209
|
Garnishment Information Update
|
UNTIL paper claims file is destroyed.
|
DD-214
|
Statement of Military Service
|
UNTIL paper claims file is destroyed.
|
SSA-L244
|
Letter Transmitting Reconsideration Determination
|
Destroy 120 DAYS after verification of systems acceptance of the reconsideration decision.
|
SSA-250
|
Development Worksheet
|
Destroy 120 DAYS after completion of development.
|
SSA-L250
|
Notice of Application for Withdrawal of Claim
|
UNTIL paper claims file is destroyed.
|
SSA-L293-U2
|
RSDI Notice of Unscheduled CDR
|
Do NOT retain.
|
SSA-381-SP
|
Waiver of Option to Receive Spanish Language Notice
|
UNTIL paper claims file is destroyed.
|
SSA-385
|
OIO Case Folder Flag
|
Destroy when case is returned to OIO.
|
SSA-408
|
Route Slip
|
Do NOT retain.
|
SSA-409
|
Postadjudicative Routing
|
Do NOT retain.
|
SSA-450
|
Claims Input Data Form
|
Destroy 30 DAYS after verification of systems acceptance.
|
SSA-454-BK
|
Report of Continuing Disability Interview
|
UNTIL paper claims file is destroyed.
|
SSA-455
|
Disability Update Report
|
UNTIL paper claims file is destroyed.
|
SSA-492
|
PC Case Folder Flag
|
Destroy when claim is returned to appropriate PC.
|
HA-520-U5
|
Request for Review of Hearing Decision/Order
|
Destroy 120 DAYS after final ODAR decision.
|
SSA-521
|
Request for Withdrawal of Application
|
UNTIL paper claims file is destroyed.
|
SSA-533
|
Translation Request
|
UNTIL paper claims file is destroyed.
|
HA-539
|
Notice Regarding Substitution of Party (Upon Death of Claimant)
|
Destroy 120 DAYS after death of claimant.
|
SSA-546
|
Workers' Compensation/Public Disability Benefits Information
|
UNTIL paper claims file is destroyed.
|
SSA-553
|
Special Determination
|
UNTIL paper claims file is destroyed.
|
SSA-559
|
Transmittal Sheet for Claims Folder/Material
|
Do NOT retain unless used for adjudication; then retain UNTIL paper claims file is destroyed.
|
SSA-561-U2
|
Request for Reconsideration
|
UNTIL paper claims file is destroyed.
|
SSA-562-U3
|
Request for Assistance/ Certification of Documents or Records
|
UNTIL paper claims file is destroyed.
|
SSA-L566
|
SSA Application Development
|
Destroy 120 DAYS after receipt and verification of systems acceptance or the discrepancy
is closed.
|
SSA-573
|
Special Typing Instructions
|
Do NOT retain unless language is unavailable elsewhere; then retain UNTIL paper claims file is destroyed.
|
SSA-622-SM
|
Representative Payee Questionnaire –Individual
|
Destroy 30 DAYS after verification of systems acceptance.
|
SSA-623-F6
|
Representative Payee Report
|
UNTIL paper claims file is destroyed.
|
SSA-623-OCR-SM
|
Representative Payee Report
|
Destroy 30 DAYS after verification of systems acceptance.
|
SSA-624-F5
|
Representative Payee Evaluation Report
|
UNTIL paper claims file is destroyed.
|
SSA-625
|
Report by Former Representative Payee
|
UNTIL paper claims file is destroyed.
|
SSA-632-BK
|
Request for Waiver of Overpayment Recovery or Change in Repayment Rate
|
UNTIL paper claims file is destroyed.
|
SSA-632-SUP
|
Recovery Interview Supplement
|
UNTIL paper claims file is destroyed.
|
SSA-635
|
Waiver Determination
|
UNTIL paper claims file is destroyed.
|
SSA-636-U3
|
Transmittal Notice for a Hearing
|
Do NOT retain.
|
SSA-654-U4
|
Request for Information From Uniformed Services
|
UNTIL paper claims file is destroyed.
|
SSA-655-U2
|
Certification by Federal Agency
|
UNTIL paper claims file is destroyed.
|
SSA-656
|
Information as to Continuing Eligibility Under Title 38 USC, Section 412, Veterans'
Benefits
|
UNTIL paper claims file is destroyed.
|
SSA-662
|
Reconsideration Determination
|
UNTIL paper claims file is destroyed.
|
SSA-702
|
Statement Regarding Date of Birth and Citizenship
|
UNTIL paper claims file is destroyed.
|
SSA-704
|
Certification of Contents of Document(s) or Record(s)
|
Destroy 120 DAYS after receipt and verification of systems acceptance or the discrepancy
is closed.
|
SSA-L706
|
Proof of Age Letter to Custodian
|
Destroy 120 DAYS after receipt and verification of systems acceptance or the discrepancy
is closed.
|
SSA-721
|
Statement of Death By Funeral Director
|
PAPERLESS LSDP ONLY CLAIMS Do NOT retain. ALL OTHER LSDP / SURVIVOR CLAIMS UNTIL paper claims file is destroyed.
|
SSA-723-F4
|
Statement Regarding Presumed Death Due to Unexplained Absence
|
UNTIL paper claims file is destroyed.
|
SSA-L725
|
Employer Verification of Monthly Wages (see OS 15010.347)
|
UNTIL paper claims file is destroyed.
|
SSA-730-U2
|
Request to Have SSI Overpayment Withheld From SSA Benefits
|
UNTIL paper claims file is destroyed.
|
SSA-L732
|
Additional Information Needed From Claimant to Adjudicate Claim
|
Do not retain after receipt and verification of systems acceptance or the discrepancy
is closed.
|
SSA-753
|
Statement Regarding Marriage
|
UNTIL paper claims file is destroyed.
|
SSA-754-F4
|
Statement of Marital Relations
|
UNTIL paper claims file is destroyed.
|
SSA-760-F4
|
Certificate of Support
|
UNTIL paper claims file is destroyed.
|
SSA-766
|
Statement of Self-Employment
|
Destroy 1 YEAR after verification of earnings record update or the discrepancy is
closed.
|
SSA-768
|
Certification of Evidence of Wages
|
Destroy 120 DAYS after verification of earnings record update or the discrepancy is
closed.
|
SSA-781
|
Certificate of Care and Responsibility for Welfare of Child Not In Applicants Custody
|
UNTIL paper claims file is destroyed.
|
SSA-783
|
Statement Regarding Contributions
|
UNTIL paper claims file is destroyed.
|
SSA-787
|
Physician/Medical Officer Statement
|
UNTIL paper claims file is destroyed.
|
SSA-788
|
Statement of Care and Responsibility for Beneficiary
|
UNTIL paper claims file is destroyed.
|
SSA-790-RR
|
Request for Railroad Earnings
|
UNTIL paper claims file is destroyed.
|
SSA-795
|
Statement of Claimant or Other Person
|
UNTIL paper claims file is destroyed.
|
SSA-827
|
Authorization to Release Medical Information to SSA
|
UNTIL paper claims file is destroyed.
|
SSA-828-U4
|
Request for Medical Information from VA
|
Do NOT retain.
|
SSA-829-U4
|
Request for Medical Information From Military Facilities or Records Center
|
Do NOT retain.
|
SSA-831-U3
|
DIB Determination and Transmittal Sheet
|
UNTIL paper claim or postentitlement file is destroyed.
|
SSA-832-U3
|
Cessation or Continuance of Disability/Blindness Determination and Transmittal - Title
XVI
|
UNTIL paper claim or postentitlement file is destroyed.
|
SSA-833-U3
|
Cessation or Continuance of Disability/Blindness Determination and Transmittal - Title
II
|
UNTIL paper claims file is destroyed.
|
SSA-892-U2
|
ESRD Medical Determination
|
UNTIL paper claims file is destroyed.
|
SSA-924
|
Folder Documentation
|
UNTIL paper claims file is destroyed.
|
SSA-1002-F3
|
Statement of Agricultural Employer for Years Before 1988
|
Destroy 120 DAYS after verification of earnings record update or the discrepancy is
closed.
|
SSA-1003-F3
|
Statement of Agricultural Employer for Years After 1987
|
Destroy 120 DAYS after verification of earnings record update or the discrepancy is
closed.
|
SSA-1099-SM
|
SS Benefit Statement
|
Do NOT retain.
|
SSA-1129-U3
|
Attorney Fee Case Past-Due Benefit Summary
|
UNTIL paper claims file is destroyed.
|
SSA-L1157-U2
|
Notice of Disability
|
Destroy 120 DAYS after date of the notice.
|
SSA-1178
|
Evaluation of Fee Petition
|
UNTIL paper claims file is destroyed.
|
SSA-1203
|
Determination of Benefits Payable After Offset (WC/PDB)
|
UNTIL paper claims file is destroyed.
|
SSA-1208
|
Keep Flag on Top
|
Destroy 30 DAYS after verification of systems acceptance or the discrepancy is closed.
|
DD-1300
|
Report of Casualty
|
UNTIL paper claims file is destroyed.
|
SSA-1314
|
Annual Report Data
|
Destroy 30 DAYS after verification of systems acceptance.
|
SSA-1323
|
Report On Individual With Childhood Impairment
|
UNTIL paper claims file is destroyed.
|
SSA-1372
|
Student's Statement Regarding School Attendance
|
UNTIL paper claims file is destroyed.
|
SSA-1383
|
Student Reporting Form – Changes
|
Destroy 30 DAYS after verification of systems acceptance.
|
SSA-1386-U2
|
Student's Statement Regarding Resumption of School Attendance
|
Destroy 120 DAYS after receipt and verification of systems acceptance.
|
SSA-1388-U2
|
Report of Student Beneficiary at End of School Year
|
Destroy 120 DAYS after receipt and verification of systems acceptance.
|
SSA-1390
|
Report of Student Beneficiary About to Attain Age 19
|
Destroy 120 DAYS after receipt and verification of systems acceptance.
|
SSA-1425
|
Reporting Changes That Affect SSA Payment
|
Destroy 30 DAYS after verification of systems acceptance.
|
SSA-1473
|
Request for Railroad Annuity Information
|
UNTIL paper claims file is destroyed.
|
SSA-1535-U3
|
Application for Search of Census Records
|
UNTIL receipt of requested evidence.
|
SSA-1588-OCR-SM
|
Beneficiary Recontact Report
|
Do NOT retain.
|
SSA-1671-U2
|
Transmittal of Critical Case
|
Do NOT retain.
|
SSA-1696-U4
|
Appointment of Representative
|
UNTIL paper claims file is destroyed.
|
SSA-1709
|
Request for Workers' Compensation/Public Disability Benefits Information
|
UNTIL paper claims file is destroyed.
|
SSA-1719
|
RSI Postentitlement Direct Input
|
Destroy 30 DAYS after verification of systems acceptance.
|
SSA-1719-B
|
SSI Postentitlement Direct Input
|
Destroy 30 DAYS after verification of systems acceptance.
|
SSA-1719-C
|
SSI Postentitlement Direct Input
|
Destroy 30 DAYS after verification of systems acceptance.
|
SSA-1719-NC
|
SSI Non-receipt Direct Input
|
Destroy 30 DAYS after verification of systems acceptance.
|
SSA-1720
|
Annual Report Direct Input
|
Destroy 30 DAYS after verification of systems acceptance.
|
SSA-1724
|
Claim for Amounts Due
|
UNTIL paper claims file is destroyed.
|
SSA-1826
|
Sample Itemized Statement of Earnings
|
Destroy 120 DAYS after earnings record update or the discrepancy is closed.
|
PHS-1867
|
Public Health Service DMW Credit Reporting Form
|
UNTIL paper claims file is destroyed.
|
SSA-2118-U2
|
Request for Document or Information
|
Destroy 120 DAYS after verification of systems acceptance or the discrepancy is closed.
|
SSA-2164
|
Work Notice Direct Input
|
Destroy 30 DAYS after verification of systems acceptance.
|
SSA-2417-C1
|
Determination of Benefit Rights
|
UNTIL paper claims file is destroyed.
|
SSA-2454
|
Offset Worksheet (WC/PDB) – Triennial Redetermination Previously Applied
|
UNTIL paper claims file is destroyed.
|
SSA-2455
|
WC/PDB Offset Worksheet – Disability
|
UNTIL paper claims file is destroyed.
|
SSA-2506-BK
|
Psychiatric Review Techniques
|
UNTIL paper claims file is destroyed.
|
SSA-2512
|
Pre-1957 Military Service-Federal Benefit Questionnaire
|
UNTIL paper claims file is destroyed.
|
SSA-2514
|
Claimant's Intent to File
|
UNTIL paper claims file is destroyed.
|
SSA-2519
|
Child Relationship Statement
|
UNTIL paper claims file is destroyed.
|
SSA-2521
|
Request for Priority Action
|
Do NOT retain.
|
SSA-2708
|
Request to Call or Visit the District Office
|
Do NOT retain.
|
SSA-2764
|
SALT Coding Sheet
|
Destroy 30 DAYS after verification of systems acceptance.
|
SSA-2795-U2
|
Determination of Resumption of Award
|
UNTIL paper claims file is destroyed.
|
SSA-L3044-C1
|
Social Security Notice to Employee
|
Do NOT retain.
|
SSA-3105
|
Important Information About Your Review Rights
|
UNTIL paper claims file is destroyed.
|
SSA-3368-BK
|
Disability Report
|
UNTIL paper claims file is destroyed.
|
SSA-3369-BK
|
Work History Report
|
UNTIL paper claims file is destroyed.
|
SSA-L3400-C1
|
Social Security Notice
|
Do NOT retain.
|
SSA-3428-U2
|
Determination of Disallowance
|
UNTIL paper claims file is destroyed.
|
SSA-3440-EP
|
Claims Collection Litigation Report
|
UNTIL paper claims file is destroyed.
|
SSA-3441-BK
|
Reconsideration Disability Report
|
UNTIL paper claims file is destroyed.
|
SSA-3601
|
MCS or Non-CAPS Routing Form
|
Do NOT retain.
|
SSA-3621
|
MBR Account/Benefit Data Change Form
|
Destroy 30 DAYS after verification of systems acceptance.
|
SSA-3643
|
Offset Worksheet (WC/PDB) – Triennial Redetermination
|
UNTIL paper claims file is destroyed.
|
SSA-3820-F6
|
Medical History and Disability Report
|
UNTIL paper claims file is destroyed.
|
SSA-3826-F4
|
Medical Report
|
UNTIL paper claims file is destroyed.
|
SSA-3827
|
Medical Report (Individual With Childhood Impairment)
|
UNTIL paper claims file is destroyed.
|
SSA-3881-BK
|
Questionnaire For Children Claiming SSI Benefits
|
UNTIL paper claims file is destroyed.
|
SSA-3885
|
Government Pension Questionnaire
|
UNTIL paper claims file is destroyed.
|
SSA-3926
|
Determination of Benefit Adjustment
|
UNTIL paper claims file is destroyed.
|
SSA-4078
|
Request for Earnings After Death
|
Do NOT retain.
|
SSA-L4107
|
Change of Address – Additional Information Needed
|
Do NOT retain.
|
SSA-4111
|
Certificate of Election for Reduced Widow(er) Benefit
|
UNTIL paper claims file is destroyed.
|
SSA-L4112-C1
|
Request for Employment Information
|
UNTIL paper claims file is destroyed.
|
SSA-L4157
|
Request for Earnings Information
|
Do NOT retain.
|
SSA-4162
|
Child-Care Dropout Questionnaire
|
UNTIL paper claims file is destroyed.
|
SSA-4164
|
Consent Form for a Representative Payee
|
UNTIL paper claims file is destroyed.
|
SSA-4184
|
Self-Employment/Corporate Officer Questionnaire
|
UNTIL paper claims file is destroyed.
|
SSA-4268-U4
|
Explanation of Determination
|
UNTIL paper claims file is destroyed.
|
SSA-4345
|
SSI Offset Worksheet Federal
|
UNTIL paper claims file is destroyed.
|
SSA-L4360-SP
|
SS Benefit Information
|
UNTIL paper claims file is destroyed.
|
SSA-4385
|
Certification of Contents of Court Records
|
GENERAL USE Destroy 120 DAYS after receipt and verification of systems acceptance or the discrepancy
is closed. REP PAYEE GUARDIAN / CAPABILITY ISSUES AND PRISONER CASES UNTIL paper claims file is destroyed.
|
SSA-4500-U6
|
Federal Determination of Error in State's Wage Reports
|
Destroy 120 DAYS after verification of earnings record update.
|
SSA-4582-CD
|
Wage Suspense/Reinstate Card
|
Destroy 120 DAYS after verification of earnings record update.
|
SSA-4641-U2
|
Authorization for SSA to Obtain Personal Information
|
UNTIL paper claims file is destroyed.
|
SSA-4734-U8
|
Residual Physical Functional Capacity Assessment
|
UNTIL paper claims file is destroyed.
|
SSA-4734-F4-SUP
|
Mental Residual Functional Capacity Assessment
|
UNTIL paper claims file is destroyed.
|
SSA-5002
|
Report of Contact
|
UNTIL paper claims file is destroyed.
|
SSA-L5004
|
Acknowledgment of Misdirected Tax
|
Do NOT retain.
|
SSA-5015-U2
|
Diary and Listing Slip
|
Destroy after issue is resolved or followup diary prepared.
|
SSA-5016
|
Scouting Request – Pending Claim
|
UNTIL paper claims file is destroyed.
|
HA-5051-U3
|
Transmittal of ALJ's Decision or Dismissal to ODAR
|
Destroy 120 DAYS after verification of systems acceptance of decision.
|
SSA-5052
|
RSI Health Insurance Information Request
|
UNTIL paper claims file is destroyed.
|
SSA-L5114
|
Letter Notifying Self-Employed Claimant of Adjustment
|
UNTIL paper claims file is destroyed.
|
SSA-5526 U3
|
Request for Assistance – Disability
|
Destroy 120 DAYS after verification of systems acceptance or the discrepancy is closed.
|
SSA-5527-U3
|
Request for Assistance – Representative Payee
|
Destroy 120 DAYS after verification of systems acceptance or the discrepancy is closed.
|
SSA-6220-SM
|
Representative Payee Questionnaire -Institutions
|
Destroy 30 DAYS after verification of systems acceptance.
|
SSA-6230-F6
|
Representative Payee Report for Children
|
UNTIL paper claims file is destroyed.
|
SSA-6230-OCR-SM
|
Representative Payee Report for Children
|
Destroy 30 DAYS after verification of systems acceptance.
|
SSA-7000-U5
|
Notice of Determination of Self-Employment Income
|
UNTIL paper claims file is destroyed.
|
SSA-7004-SM
|
Request for Earnings and Benefit Estimate Statement
|
Do NOT retain unless used for protective filing; then retain UNTIL paper claims file is destroyed.
|
SSA-7005
|
Personal Earnings and Benefit Estimate Statement (PEBES)
|
Do NOT retain unless used for protective filing; then retain UNTIL paper claims file is destroyed.
|
SSA-7008
|
Request for Correction of Earnings
|
Destroy 4 YEARS after determination is made or the discrepancy is closed.
|
SSA-7010-U5
|
Notice of Determination of FICA Wages
|
Destroy 120 DAYS after verification of earnings record update.
|
SSA-7011-F4
|
Statement of Employer Regarding Earnings
|
Destroy 120 DAYS after verification of earnings record update or the discrepancy is
closed.
|
SSA-L7013
|
Request to Employer for Wage Information
|
Destroy 120 DAYS after verification of earning record update or the discrepancy is
closed.
|
SSA-L7014
|
Request for Earnings Information
|
Destroy 120 DAYS after verification of earnings record update or the discrepancy is
closed.
|
SSA-L7015
|
Follow Up to SSA-L7014 Request
|
Do NOT retain.
|
SSA-7052
|
DO Record of Earnings Discrepancy Development
|
Destroy 120 DAYS after verification of earnings record update or the discrepancy is
closed.
|
SSA-7057-U3
|
Request for Tax Return Information
|
UNTIL paper claims file is destroyed.
|
SSA-7104
|
Partnership Questionnaire
|
UNTIL paper claims file is destroyed.
|
SSA-7157-F4
|
Farm Arrangement Questionnaire
|
UNTIL paper claims file is destroyed.
|
SSA-7160
|
Employment Relationship Questionnaire
|
UNTIL paper claims file is destroyed.
|
SSA-7161
|
Foreign Enforcement Questionnaire
|
UNTIL paper claims file is destroyed.
|
SSA-7162
|
Foreign Enforcement Questionnaire
|
UNTIL paper claims file is destroyed.
|
SSA-7163
|
Questionnaire About Employment or Self-Employment Outside USA
|
UNTIL paper claims file is destroyed.
|
SSA-7774-SM
|
Underpayment Detection Annual Report
|
Destroy 30 DAYS after verification of systems acceptance.
|
SSA-8000-BK
|
Application for SSI - Long Form
|
UNTIL paper claims file is destroyed.
|
SSA-8001-F5
|
Application for SSI - Short Form
|
UNTIL paper claims file is destroyed.
|
SSA-8006-F4
|
Statement of Living Arrangements, In-Kind Support and Maintenance
|
UNTIL paper claim or postentitlement file is destroyed.
|
SSA-8008
|
Living Arrangement and In-Kind Support and Maintenance Guide
|
UNTIL paper claim or postentitlement file is destroyed.
|
SSA-8010-BK
|
Statement of Income and Resources
|
UNTIL paper claim or postentitlement file is destroyed.
|
SSA-8011-F3
|
Statement of Household Expenses and Contributions
|
UNTIL paper claim or postentitlement file is destroyed.
|
SSA-8202-F6
|
Statement for Determining Continuing Eligibility for SSI Payment
|
Destroy 7 YEARS after completion of the redetermination action.
|
SSA-8203-BK
|
Statement for Determining Continuing Eligibility for SSI Payment
|
UNTIL paper claim or postentitlement file is destroyed.
|
SSA-8299
|
Request for Special Age 72 Reinstatement
|
UNTIL paper claims file is destroyed.
|
SSA-8510
|
Authorization to SSA to Obtain Personal Information
|
UNTIL paper claims file is destroyed.
|
SSA-8740
|
Referral and Treatment Status of SSI Drug Addicts and Alcoholics
|
UNTIL paper claim or postentitlement file is destroyed.
|
SSA-9432
|
Notice Regarding Military Service Wage Credits
|
Do NOT retain.
|
SSA-9584-BK
|
State Mental Institution Policy
|
UNTIL paper claims file is destroyed.
|
SSA-9584-SUP
|
Certification by State Mental Institution
|
UNTIL paper claims file is destroyed.
|
SSA-L9778-SM
|
Work Report
|
Destroy 30 DAYS after verification of systems acceptance.
|
SSA-L9779-SM
|
Work Report
|
Destroy 30 DAYS after verification of systems acceptance.
|
SSA-L9780-SM
|
Work Report
|
Destroy 30 DAYS after verification of systems acceptance.
|
SSA-L9781-EP
|
Work Report
|
Destroy 30 DAYS after verification of systems acceptance.
|
NA-13041
|
Statement of Service
|
UNTIL paper claims file is destroyed.
|
NA-13047
|
Reply to Request for Information
|
Do NOT retain.
|
NA-13075
|
Questionnaire About Military Service
|
Do NOT retain.
|