Sample Letter of Request for Verification of Public Health Service Reserve Corps Service
from 1/1/57 - 6/30/60
Date
Chief, Commissioned Personnel Operations Division
Office of Personnel and Training
Department of Health and Human Services
Parklawn Building, Room 4-36
5600 Fisbers Lane
Rockville, Maryland 20852 Re: Request for Verification of
Public Health Reserve Service from
January 1, 1957, to June 30, 1960
Dear Sir:
You have previously notified the Social Security Administration that (Name of Officer) , Social Security Account No. , born , performed active service as a Public Health Reserve officer at some time during
the period January 1, 1957, to June 30, 1960.
The information below is requested to permit us to determine the effect of this service
under the Social Security Act in view of Public Law 86-415.
Sincerely yours,
Manager
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1.
Was the individual's active commissioned service during the period entirely Reserve
Corps service? YES NO
If answer to 1 is "no" answer 2 and 3.
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2.
What were the dates of the individual's active service in the Reserve Corps between
December 31, 1956, and July 1, 1960?
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3.
If the individual was transferred within a calendar quarter from active service in
the Reserve Corps to the Regular Corps (or vice versa), please show the remuneration
reported for social security purposes, that was attributable to Reserve service and
to Regular service for that quarter.
| Quarter of Transfer |
Reserve Service |
Regular Service |
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Signature: |
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Title: |
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By: |
Date: |
Return to:
Social Security Administration
One Metro Square
51 Monroe Street
Plaza Level
Rockville, Maryland 20850