If a person receives Fowlkes relief and subsequently takes up residence in a State outside of the Second Circuit,
benefits will be suspended beginning the month residence in another State begins.
The following paragraph would be added to the advance notice of proposed suspension
and the incomplete generated suspension notice to explain the reason for suspension.
(F1) no longer live in Connecticut, New York, or Vermont beginning (F2), so the Fowlkes Acquiescence Ruling (AR) no longer applies to (F3) case. Based on this AR, when (F4)
lived in Connecticut, New York, or Vermont, we paid (F5) benefits even though (F6)
had an outstanding warrant for a crime which was a felony. The Fowlkes AR does not apply in the State where (F7) now live.
Fill-ins
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Choices
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1
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You, Beneficiary’s name
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2
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month/year
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3
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your, them
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4
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you, beneficiary’s name
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5
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you, their
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6
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You, they
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7
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You, beneficiary’s name
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NOTE: Fill-in #2 of the paragraph should be completed with the date (MM/CCYY) the beneficiary
left the Second Circuit (i.e., CT, NY or VT).
Also add in the following language and caption in the notice about the original information
on the outstanding felony warrant on which SSA is reimposing suspension.
INFCO1
FUG057 (use the warrant information from the original outstanding warrant on which
SSA suspended the beneficiary)
Add in overpayment, reconsideration and appeals language as appropriate.
See GN 0613.856C.5 for an exhibit of the re-suspension notice when the beneficiary
moves out of the Second Circuit.