Effective Dates: 10/01/2002 - Present Previous | Next

Basic (09-02)

GN 01744.235 Facts About the Australian Liaison Form AUS/USA 3

A. When to use form AUS/USA 3

Centrelink uses form AUS/USA 3 to:

  • •

    Transmit material to OIO or VARO

  • •

    Send information to OIO or VARO, and

  • •

    Request information from OIO.

B. Exhibit – Form AUS/USA 3

 

C. Description of form AUS/USA 3

1. Part 1

Part 1 contains information about the claimant.

2. Part 2

Part 2 contains information about the worker. All dates provided by Centrelink are verified..

3. Part 3

Part 3 contains information about the spouse or former spouse. All dated provided by Centrelink are verified.

4. Part 4

Part 4 contains information provided by Australia, including the protective filing date (lodgement date).

5. Part 5

Part 5 contains a list of the type of information that Centrelink might request from OIO along with the remark that the information is needed to process a claim under the agreement. Centrelink needs all benefit rates from the date of entitlement but not prior to the beginning date of the agreement, October 1, 2002..

6. Part 6

Part 6 contains remarks.

7. Part 7

Part 7 contains the signature and date.

D. Procedure

In addition to the procedures for handling foreign agency liaison forms contained in GN 01704.400 – GN 01704.990, return to Centrelink any request that does not indicate that it is needed to process a claim under the agreement unless

  • •

    written consent to disclose in attached or

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    the file contains an SSA-2490 signed by the claimant.

To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0201744235
GN 01744.235 - Facts About the Australian Liaison Form AUS/USA 3 - 10/01/2002
Batch run: 10/17/2016
Rev:10/01/2002