TN 30 (03-96)

NL 00703.913 Request for Benefit Increase Denied

Document Identifier for Word Processor: E3913

A. Exhibit letter

You asked that we refigure your monthly benefit amount (1) .

We have reviewed your work history through (2) and find that you are getting the highest possible amount based on how much you earned. For this reason, we can not raise your benefit now.

If you have earnings in future years, they might increase the total earnings enough to entitle you to a larger benefit. We will review your work each year, and let you know if you will get a larger benefit.


If you disagree with the decision




If you want help with your appeal



If you have any questions

3901C - Domestic

3901D - Foreign

B. Requesting instructions

  • Send this notice when a claimant's request for recomputation or recalculation of benefits is denied.

  • Use paragraph 3100E if the person lives in the U.S. and does not have an attorney.

  • Refer to NL 00703.005E. for 3901C and 3901D text and fill-ins. Refer to NL 00703.900 for ALS020 text.




Choice 1 -

Null, if beneficiary did not specify year(s)


Choice 2 -

to include your earnings of:







(1A) Dollar amount and year for each year involved


The last year for which earnings appear on the earinings record, e.g., “1992”.

C. Typing instructions

Use Form SSA-L2000-C2 (Universal Notice). Refer to Form SSA-3428-U2, Determination of Disallowance Coding Sheet, “Name and Address Information” field in block 2 for completing the name and address. If Form SSA-3428-U2 is not attached, take the name and address from the latest Form A101/EF101 or SSA-3926-EP in file.

To Link to this section - Use this URL:
NL 00703.913 - Request for Benefit Increase Denied - 04/09/2015
Batch run: 04/09/2015