TN 1 (03-97)
Initial claims packages are prepared to request Belgian coverage records and to inform the Belgian agency about claims for Belgian benefits. (See GN 01713.205 - GN 01713.215, for the application and evidence required for the package.)
Potential Entitlement to U.S. Totalization Benefits
If there is potential entitlement to U.S. totalization benefits, prepare an SSA-e2960-U2-BE to request the Belgian coverage record.
Claim for Belgian Benefits
If there is a claim for Belgian benefits, prepare a claims package including:
Form SSA-e2960-U2-BE;
U.S. totalization earnings record;
medical evidence from DIO's files, if the Belgian claim is for disability benefits; and
evidence submitted for the Belgian claim.