Items 1 through 14 are completed by the field office (FO) for all cases - see DI 11010.205 for information needed in each field and DI 11055.130 for specific Title XVI entries.
In Title XVI claims, if the FO determines that the claimant is presumptively disabled
(PD) or presumptively blind (PB), the FO will complete the SSA-831-U3 (Disability
Determination and Transmittal) as above. In addition, the FO will complete items 15,
27, and 34 for PD/PB only cases. See DI 11055.240D for instructions on completing the paper form.
Flag the case with Form SSA-408 (Route Slip) and annotate “Expedite - Delayed Case”
indicating “FO-PD (or PB) decision”. See DI 23535.020 for disability determination service (DDS) entries/actions in PD/PB cases.