Basic (03-81)
RS 02809.099 Exhibits for RRB Certification Cases
FAX to RRB at 312-751-4502
Exhibit 1 — SSA Certification of Title II Monthly Benefits to the RRB for Payment
or Adjustment (SSA-3103) — Confirmation Copy — Correct Payment Rates Furnished
Exhibit 2 — SSA Certification of Title II Monthly Benefits to the RRB for Payment
or Adjustment (SSA-3103) — Confirmation Copy — Estimated Payment Rates Furnished