TN 1 (10-24)
   GN 01771.320 Slovenian Medical Exam Reimbursement Form
   
   
   
   The Slovenian liaison agency Pension and Disability Insurance Institute of Slovenia
      will use the SSA e2960 USA/SI 3 (U.S. -
         Slovenia Agreement on Social Security
         Transmittal/Request/Certification Form) for reimbursement of medical expenses regarding requests for exams.