SNO002 – SPECIAL NOTICE OPTION – USED FOR BRAILLE (3), DATA CD (4), AUDIO CD (6) AND LARGE PRINT (7)

We are sending you this letter in both a standard print version and (1). You will receive them in separate envelopes.

SNO004 – SPECIAL NOTICE OPTION – USED FOR TELEPHONE CONTACT (2)

As you requested, we will call you within 5 business days of the date of this letter to read it to you.

SSAH16 – BNC NUMBER HEADER ON SUBSEQUENT PAGES

(1)

SSAH30 – NAME AND ADDRESS

(1)

(2)

(3)

(4)

(5)

(6)

SSAH32 – APPOINTED REPRESENTATIVE'S NAME AND ADDRESS

(1)

(2)

(3)

(4)

(5)

(6)

SUSC02 – CAPTION

We May Be Able To Pay (1) Again

SUS013 – SUSPENSION HISTORY REASON FOR SUSPENSION OR TERMINATION (HRFST) OF WAIVER OF BENEFIT PAYMENTS (WAIVER)

If (1) to receive (2) benefits, we will pay benefits beginning with the month we receive a signed statement from you (3) asking for the benefits.

SUS014 – SUSPENSION - HISTORY REASON FOR SUSPENSION OR TERMINATION (HRFST) OF NO CHILD IN CARE (NOCICS)

We cannot pay (1) because (2) not taking care of a child who (3) entitled to Social Security benefits.

SUS025 – SUSPENSION - HISTORY REASON FOR SUSPENSION OR TERMINATION (HRFST) OF PAYEE DEVELOPMENT (DEVPYE) OR DEATH OF PAYEE (DTHPYE) - NO DAA BENEFICIARY OR SUSPENSION HRFST OF PAYEE IS A FUGITIVE FELON (RPFUGF)

The person who received your payments will no longer be your representative payee. We are looking for another qualified person to receive your payments and use them for your needs.

SUS026 – SUSPENSION - HISTORY REASON FOR SUSPENSION OR TERMINATION (HRFST) OF PAYEE DEVELOPMENT (DEVPYE) - NO DAA BENEFICIARY

We have determined that you need help managing your payments. We will be selecting a qualified person to receive your payments. We call this person a representative payee. It will be your payee's duty to manage your (1) payments for you and use them for your needs.

SUS027 – SUSPENSION - HISTORY REASON FOR SUSPENSION OR TERMINATION (HRFST) OF PAYEE DEVELOPMENT (DEVPYE) OR DEATH OF PAYEE (DTHPYE)

When we begin your (1) payments again, you will be paid all the money that is due you. When we make a decision about your payee, we will send you another letter. This letter will explain what you can do if you disagree with our payee decision.

SUS035 – AUXILIARY (AUX) SUSPENDED - HISTORY REASON FOR SUSPENSION OR TERMINATION (HRFST) OF DEVDIB DUE TO NUMBER HOLDER'S (NH) CDR OR AUX SUSPENDED - HRFST OF CDRFTC DUE TO NH'S FAILURE TO COOPERATE OR PIC B/E SUSPENDED HRFST OF CDRFTC DUE TO PIC C (CDB) FAILURE TO COOPERATE OR AUX SUSPENDED - HRFST OF MISC DUE TO NH'S REQUEST FOR MEDICARE ONLY STATUTORY BENEFIT CONTINUATION DURING AN APPEAL OF A DIBCESS DECISION

We cannot pay further benefits until we can study the facts and decide whether (1) still meets the requirements to receive disability benefits. We will let you know when we make this decision and will tell you whether we can start (2) benefits again.

SUS040 – SUSPENSION - HISTORY REASON FOR SUSPENSION OR TERMINATION (HRFST) OF TREASURY BARRED (BARRED)

We cannot pay (1) benefits because the rules of the United States Treasury Department do not allow payment while (2) (3) in (4). We will let you know if the tax rules change.

SUS041 – SUSPENSION - HISTORY REASON FOR SUSPENSION OR TERMINATION (HRFST) OF FOREIGN ENFORCEMENT REPORT NOT RETURNED (FORENF)

We cannot pay (1) benefits because (2) (3) not returned the form, “Report to United States Social Security Administration.” We need the information requested on this form to decide if (4) can receive benefits again.

SUS045 – SUSPENSION - HISTORY REASON FOR SUSPENSION OR TERMINATION (HRFST) OF ENTITLEMENT TO HIGHER BENEFITS ON ANOTHER ACCOUNT (T5NENT) OR TECHNICAL ENTITLEMENT (TECENT)

We cannot pay benefits because (1) (2) eligible for a higher benefit on another record.

SUS047 – SUSPENSION - HISTORY REASON FOR SUSPENSION OR TERMINATION (HRFST) OF GOVERNMENT PENSION OFFSET (GPOOFF)

We cannot pay benefits because (1) (2) eligible for a government pension that is equal to or greater than the monthly Social Security benefit.

SUS052 – SUSPENSION - HISTORY REASON FOR SUSPENSION OR TERMINATION (HRFST) OF DOMESTIC WORK (DOMWRK) OR FOREIGN WORK (FORWRK)

We cannot pay benefits because of (1) work.

SUS054 – HISTORY REASON FOR SUSPENSION OR TERMINATION (HRFST) OF NON-RESPONDER TO RECONTACT FORM (RECONT) OR TERMINATION BASED ON NON-RESPONSE TO RECONTACT NOTICE (RECONM) FOR PIC E OR PIC C AND NO PAYEE INVOLVED

We cannot pay (1) benefits because (2) (3) not returned the form, SSA-1588 “Beneficiary Recontact Report”. We need the information requested on this form to decide if (4) can receive benefits again.

SUS055 – HISTORY REASON FOR SUSPENSION OR TERMINATION (HRFST) OF NON-RESPONDER TO RECONTACT FORM (RECONT) OR TERMINATION BASED ON NON-RESPONSE TO RECONTACT NOTICE (RECONM) FOR PIC C AND PAYEE INVOLVED

We cannot pay (1) benefits because (2) (3) not returned the Form SSA-1587 “Beneficiary Recontact Report.” We need the information requested on this form to decide if (4) can receive benefits again.

SUS065 – SUSPENSION - RULES FOR LAWFUL PRESENCE WHEN NOT LAWFULLY PRESENT (NOTLAW)

Under the law, we (1) pay (2) for (3) any month (4) lawfully present in the U.S. To receive benefits, (5) must be a U.S. citizen or national, or lawfully present in the U.S., defined by the Attorney General as an alien;

• •

  lawfully admitted for permanent residence;

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  admitted as a refugee under section 207 of the Immigration and Nationality Act (INA);

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  granted asylum under section 208 of the INA;

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  paroled under section 212(d)(5) of the INA (except for aliens paroled for an exclusion hearing or prosecution in the U.S.);

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  an alien whose deportation has been withheld under section 243(h) of the INA as in effect prior to April 1, 1997, or whose removal has been withheld under section 241(b)(3) of the INA.

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  granted conditional entry as a refugee under section 203(a)(7) of the INA as in effect prior to April 1, 1980;

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  inspected and admitted to the U.S. and who has not violated the applicable terms of his/her status;

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  with a pending application for political asylum under section 208 of the INA or a pending application for withholding of deportation under section 243(h) of the INA, and employment authorization; or

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  belonging to any specific class of aliens permitted to remain in the U.S. under U.S. law or policy, for humanitarian or other public policy reasons.

SUS068 – SUSPENSION - HISTORY REASON FOR SUSPENSION OR TERMINATION (HRFST) OF NO CHILD IN CARE (NOCICS)

Please let us know if you are taking care of a child again who is entitled to benefits and under 16 or disabled. We may be able to pay you again.

SUS069 – SUSPENSION - HISTORY REASON FOR SUSPENSION OR TERMINATION (HRFST) OF SUSPENSION FOR CDR (DEVDIB) (HA, CDB, WIDOW'S DIB) NO DAA

We cannot pay (1) benefits because our records show that (2):

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  did not return information we asked for; or

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  (3) returned to work; or

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  (4) health improved; or

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  (5) could not be located.

We cannot pay benefits because we must study the facts and decide whether (6) still (7) the requirements to receive disability benefits.

SUS070 – SUSPENSION - HISTORY REASON FOR SUSPENSION OR TERMINATION (HRFST) OF WHEREABOUTS UNKNOWN (WHEREU), ADDRESS DEVELOPMENT (DEVADD), AGE DEVELOPMENT (DEVAGE), PENDING DISABILITY DETERMINATION (DISDET), DUAL ENTITLEMENT POTENTIAL WIDOW (CERTEL)

We cannot pay (1) starting (2). We need more information before we can start (3) payments again.

SUS071 – SUSPENSION - HISTORY REASON FOR SUSPENSION OR TERMINATION (HRFST) OF BARRED (SSA)

We cannot pay benefits because Social Security rules do not allow payment while a beneficiary lives or lived in a barred country.

SUS072 – SUSPENSION LEAD - FOLLOW BY SPECIFIC UTI

Based on the information we have, we cannot pay benefits (1) (2) (3) (4).

SUS073 – RESUMPTION OR REINSTATEMENT OF BENEFITS

Based on the information we have, we can pay benefits (1) (2) (3) (4).

SUS074 – SUSPENSION - HISTORY REASON FOR SUSPENSION OR TERMINATION (HRFST) OF NOT LAWFULLY PRESENT (NOTLAW)

We cannot pay (1) benefits because (2) not lawfully present in the U.S.

SUS075 – SUSPENSION - HISTORY REASON FOR SUSPENSION OR TERMINATION (HRFST) OF NOT A U.S. CITIZEN (NOUSCP)

We cannot pay (1) benefits because (2) not a U.S. citizen.

SUS076 – SUSPENSION - HISTORY REASON FOR SUSPENSION OR TERMINATION (HRFST) OF LEF U.S. ALIEN SUSPENSION (ALNSUS)

We cannot pay (1) benefits because (2) not a United States citizen and (3) been outside the United States for more than 6 months.

SUS077 – ONGOING VOLUNTARY SUSPENSION TO EARN DELAYED RETIREMENT CREDITS (VOLDRC or LEGIS1)

We received (1) request to suspend (2) retirement benefits to earn delayed retirement credits. Suspending these benefits will also stop payments to (3) on any other record on which (4) entitled. We will restart (5) benefits at the earlier of:

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  The month (6) age 70, or

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  The month after (7) for payments to restart.

SUS078 – SUSPENSION - HISTORY REASON FOR SUSPENSION OR TERMINATION (HRFST) OF MONTHLY BENEFIT AMOUNT (MBA) < $1.00 (LESSDO) AND HIB225 OR HIB226 NOT USED

We cannot pay (1) beginning (2) because (3) monthly payment is less than a dollar. At the end of the year, we will adjust (4) record and pay all money (5) due.

SUS079 – SUSPENSION - HISTORY REASON FOR SUSPENSION OR TERMINATION (HRFST) OF WAIVER

We are withholding (1) benefits because (2) requested us to do so.

SUS080 – SUSPENSION - HISTORY REASON FOR SUSPENSION OR TERMINATION (HRFST) OF PREDATOR (PREDTR)

We cannot pay (1) because:

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  (2) convicted of a crime and confined in a jail or prison;

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  The crime included sexual activity, and

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  When (3) completed (4) sentence, (5) immediately sent by court order to an institution at public expense.

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  The court decided (6) a sexually dangerous person.

SUS084 – HISTORY REASON FOR SUSPENSION OR TERMINATION (HRFST) OF VOLUNTARY SUSPENSION TO EARN DELAYED RETIREMENT CREDIT (VOLDRC or LEGIS1) FOR AN EMBEDDED PERIOD OF SUSPENSION

We received (1) request to suspend (2) retirement benefits for (3) to earn delayed retirement credits. Suspending these benefits will also stop payments to (4) on any other record on which (5) entitled. We will restart (6) benefits for (7) in (8), unless (9) us to restart (10) benefits earlier.

SUS087 – PIC A SUSPENSION - HISTORY REASON FOR SUSPENSION OR TERMINATION (HRFST) OF DEPORTATION (DEPORT) – ONGOING OR EMBEDDED PERIOD OF SUSPENSION

We cannot pay (1) benefits because (2) deported or removed from the United States under one of the following sections of the Immigration and Nationality Act (INA):

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  Section 241(a) of the INA in effect prior to April 1, 1997;

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  Section 237(a);

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  Section 212(a)(6)(A).

This is based on information from the U.S. Department of Homeland Security. Please get in touch with us if in the future (3) permitted to return to the United States as a lawful permanent resident. Benefits may again be payable at that time.

SUS088 – AUXILIARY SUSPENSION - HISTORY REASON FOR SUSPENSION OR TERMINATION (HRFST) OF DEPORTATION (DEPORT) – ONGOING OR EMBEDDED PERIOD OF SUSPENSION

No benefits are payable to (1) because (2) was deported or removed from the United States. Please get in touch with us if (3) a U.S. citizen or (4) in the United States for a full calendar month or more without leaving for any period, no matter how short. Benefits may again be payable at that time.

SUS099 –SUSPENSION – DIRECT DEPOSIT FRAUD

We stopped (1) Social Security benefits because of possible fraud on (2) record. Please contact us right away. We need to verify your direct deposit information before we can resume (3) benefits.

SUS100 –SUSPENSION OF AUXILIARY’S BENEFITS - NUMBER HOLDER (NH) REQUESTS VOLUNTARY SUSPENSION TO EARN DELAYED RETIREMENT CREDITS (LEGIS1)

We received (1) request to suspend (2) benefits to earn delayed retirement credits. As a result, we must suspend the benefits (3) on (4) record. We will restart (5) benefits with the earlier of:

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  The month (6) reaches age 70, or

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  The month after (7) asks for payments to restart.

SUS107 - SUSPENSION - NOT LAWFULLY PRESENT (NOTLAW) SUSPENSE DUE TO LAWFUL PRESENCE STATUS (LWPR) OF NEEDS REVERIFICATION

We cannot pay you benefits because we learned from the U.S. Department of Homeland Security that (1) not lawfully present in the U.S.

SUS108 - SUSPENSION - PROOF OF U.S. CITIZENSHIP OR LAWFUL PRESENCE NEEDED TO RESUME BENEFITS

If you have proof of (1) U.S. citizenship, nationality or lawful presence, contact us within the next 10 days to prevent interruption of benefits.