An individual filing for Czech benefits only, completes the Czech application form
(CZ/USA 202, Claim for a Pension from the Czech Republic). The individual does not
complete Form SSA-2490-BK.
When an applicant files for fully insured (non-totalization) U.S. benefits and Czech
Republic benefits (fully insured or Totalization), do not complete the Form SSA-2490-BK.
The Modernized Claims System (MCS) does not allow clearance of the claim for U.S.
benefits until the CR enters the path for the SSA-2490. To clear the U.S. claim, the
CR completes only the first (FINF) screen in the SSA-2490 path. This action releases
the claim for U.S. benefits for award or denial. The CR completes the claim for Czech
benefits using the Czech application form.