The special Japanese application forms are taken in the field offices (FO). If an
applicant wishes to file for Japanese benefits, the FO should:
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1.
Access the Totalization Benefits Resource Kit on the intranet at http://ocoweb/oio/Totalization/TotResKit.asp
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2.
Print the appropriate Japanese application form (J/USA 1 or J/USA 2) and instructions
and give them to the applicant for completion.
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3.
Provide any necessary assistance in completing the Japanese form.
NOTE: Most individuals filing for Japanese benefits should be able to complete the Japanese
application form without assistance using the instructions provided with the application.
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4.
Request an “Informational/Certified Earnings Record” (ICERS) per MSOM ICERS 001.004.
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5.
Photocopy and certify any documents (evidence) submitted by the applicant.
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6.
Send the completed Japanese application form, certified copies of evidence and certified
earnings record(s) (ICERS) to the Office of Earnings and International Operations
(OEIO)/Division of International Operations (DIO) in Baltimore at the following address:
Social Security Administration
OEIO/DIO
P.O. Box 17769
Baltimore, Maryland 21235-7769
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7.
Complete the Modernized Development Worksheet (MDW) screen to show the date the Japanese
claim is forwarded to OEIO/DIO. Show “Totalization” as the ISSUE when completing the
MDW screen.
Once OEIO/DIO receives the claim, OEIO/DIO will send the claim directly to the Japanese
agency along with the evidence and the worker’s U.S. coverage record.