Effective Dates: 05/10/2017 - Present Previous | Next

Basic (10-05)

GN 01746.205 Preparing Claims Packages in DIO for Claims Filed Outside Japan

A. Procedure - Initial Claims Packages

Prepare initial claims packages to request Japanese coverage records and to inform the Japanese agency about claims for Japanese benefits. (See GN 01745.205 – GN 01745.220 for the applications and evidence required to prepare the packages.)

B. Procedure - U.S. Claims

Prepare form SSA-e2960-J and forward it to the appropriate Japanese agency with a copy of form J/USA 4 to request the Japanese coverage record if the Japanese record is not in the claims file.

C. Procedure - U.S. and Japanese or Japanese Claim Only

Prepare a claims package that includes:

  • •

    Form SSA-e2960-J to certify the filing date for Japanese benefits, established factors of entitlement, and U.S. benefit information

  • •

    The special Japanese application form (either J/USA 1 or J/USA 2)

  • •

    A U.S. totalization earnings record

  • •

    Medical evidence from SSA's files, if the Japanese claim is for disability benefits.

    NOTE: SSA files include claims folders in DIO, in the caves in Kansas City.

  • •

    Evidence submitted for the Japanese claim, and

  • •

    A request for the Japanese coverage record, including form J/USA 4, if one is needed

D. Reference

GN 01745.205 – GN 01745.220, Applications and Evidence for Japanese Agreement

To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0201746205
GN 01746.205 - Preparing Claims Packages in DIO for Claims Filed Outside Japan - 05/10/2017
Batch run: 05/10/2017
Rev:05/10/2017