Basic (11-81)
NL 00705.505 Model Letter—Undeliverable Correspondence
Social Security Notice
Date:
Claim Number:
Mr. John Doe
200 Roe Street
Baltimore, Maryland 21201
This is in reply to our inquiry about your application for disability insurance benefits.
We sent you a letter on (date) notifying you of our decision. That letter was mailed to your (present) (former)
address. Since you indicate that you did not receive it, we are enclosing a copy.
Enclosure