TN 54 (09-26)

NL 00720.080 CFD Conserved Funds

CFD003 REQUEST FOR CONSERVED FUNDS (T13)

(Requested/Generated)

Caption: If You Saved Any Money

While you were  (1)  payee, you may have saved some money for  (2)  . If you have, you should return it to us unless you have already made other plans with us for handling it. The money you will need to return includes:

  • Saved and invested benefits.

  • Interest earned from these savings and investments.

  • Money you have left over from any payments we sent you.

  • Any payments you might receive after the date of this letter.


Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: Beneficiary's Name (not possessive)
Fill-in (2) - Systems Generated
Choice 1: him
Choice 2: her

CFD004 RETURN CONSERVED FUNDS

(Generated)

Caption: How To Pay Us Back

Please see the Payment Options page for the ways you can return any money you saved for  (1)  .


Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: Beneficiary's Name (not possessive)

To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900720080
NL 00720.080 - CFD Conserved Funds - 09/22/2026
Batch run: 09/22/2026
Rev:09/22/2026