Compiled documentation must support your findings that the case meets the initial
criteria for a potential administrative sanction case as defined in GN 02604.405. If your case might contain fraud or findings of similar fault, documentation must
support this information as well.
IMPORTANT: SSA does not require a finding of fraud or similar fault to impose an administrative
sanction. For more information on how administrative sanctions differ from fraud or
similar fault, see GN 02604.405D.10.
See also:
GN 04020.010 Unrestricted Reopening for Determinations or Decisions Involving Fraud
or Similar Fault
SI 04070.020 Fraud and Similar Fault - SSI
Documentation includes, but is not limited to, the following evidence:
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The misrepresented information or the omission of a material statement on an SSA application
or form;
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Form SSA-5002 (Report of Contact) or RPOC screens that documents the person’s false statements.
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Fraudulent or false documents that the person submitted as evidence;
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Documentation that supports your conclusion that the person knowingly made a false
or misleading statement or failed to disclose information, and that the person knew
or should have known that the failure to disclose material information was misleading;
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SSA records or reports that support your conclusion that the person knowingly submitted,
or concealed, false or misleading statements, or documents;
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SSA records that document the amount of any overpayment resulting from the misrepresentation
or omission;
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SSA records that document a prior determination of fraud or similar fault; and
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Any other paper or electronic evidence that supports your finding.