TN 20 (04-19)
NL 00705.735 Claimant Call-in Letter - Sample
**BARCODE**
AGENCY
LETTERHEAD
Date: _______________
Case ID:
____________
Addressee Name
Address Line 1
Address Line 2
City, State, Zip code
Dear (First Name) (Last name):
We are the office that makes disability decisions for the Social Security Administration.
We need to speak with you within 10 days of the date on this letter about the matter
below:
(List matter(s) here)
Please call the phone number shown
below
If you do not respond to this letter by (date), we may decide your case based on the
information we already have. This means that we may find that you are not disabled
or, if you are already receiving benefits, that your disability has ended and your
benefits may stop.
Thank you for your help.
(Name)
Disability Examiner
(XXX) XXX-XXX
Toll Free: 1-800-XXX-XXXX, extension XXXX
cc: