Program Operations Manual System (POMS)
TN 54 (09-26)
NL 00720.310 RPY Representative Payee
RPY003 INITIAL AWARD LAF S8 PAYEE SELECTION CONTACT (S22)
(System Generated)
Caption: What You Need To Do
If you know someone who can be your payee, please call us at either of the telephone
numbers shown at the end of this letter. We will consider this person for your payee.
Also, call us within the next 30 days if you do not hear from us. You may be able
to keep getting some payments directly while we make our decision.
RPY015 CHANGE TO NEW PAYEE - NOTICE TO PRIOR PAYEE (G57)
(System Generated)
Caption: Your Benefits
Thank you for your willingness to serve as a representative payee. We have decided
that it would be best for (1) to have (2) checks sent to another payee.
Fill-in values:
Fill-in (1) Systems Generated
Choice 1:
Beneficiary's
Name
(not possessive)
Choice
2:
you
Fill-in (2) Systems Generated
Choice 1: his
Choice 2: her
Choice 3: your
RPY016 PAYEE CHANGE TO SELF - NOTICE TO PRIOR PAYEE
(Systems Generated)
Caption: Your Benefits
We have decided that it would be best for (1) to have (2) payments sent to (3) .
Fill-in values:
Fill-in (1) Systems Generated
Beneficiary's Name (not possessive)
Fill-in (2) Systems Generated
Choice 1: his
Choice 2: her
Fill-in (3) Systems Generated
Choice 1: him
Choice 2: her
RPY038 PAYEE CHANGE TO SELF - NOTICE TO BENEFICIARY
(Systems Generated)
Caption: None Lead In Statement
We will begin to send your payments directly to you. The rest of this letter will
give you more information about your benefits.
RPY039 INTRODUCTORY STATEMENT CHANGE IN PAYEE AWARD NEW PAYEE (G47)
(System Generated)
Caption: None
We have chosen you to be (1) representative payee. The rest of this letter will give you information about the
payments you will receive while you are the payee.
Fill-in values:
Fill-in (1)
Beneficiary's
Name
(possessive)
RPY041 REPRESENTATIVE PAYEE PAMPHLET (B27)
(Requested)
Caption: Your Responsibilities
Please read the enclosed pamphlet, "A Guide For Representative Payees." It lists the
things you will need to know because you have been chosen as payee. If you have any
questions related to your duties as a representative payee, we invite you to visit
our website at (1) on the Internet.
Fill-in values:
Fill-in (1) Systems Generated
www.socialsecurity.gov/payee
RPY042 REPRESENTATIVE PAYEE ACCOUNTING REQUIRED
(System Generated)
Caption: Your Responsibilities
You will need to keep track of how you use all of the money we send you for (1) . Each year we will ask you to report on how you used the money. We call this a representative
payee accounting. on the Internet.
Fill-in values:
Fill-in (1) Systems Generated
beneficiary's
Name (not possessive)