Type the information onto a blank Form SSA-L99-C1 exactly as shown on the SSA-L99-C1
to be retyped.
NOTE: Refer to the ERISA microfilm to get the necessary information to complete the Form
SSA-L99-C1.
The necessary information for a completed Form SSA-L99-C1 includes:
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Plan identifying information.
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•
SSA message and any codes at the bottom of the notice.
Forward to control for mail-out.