SSA assigns the form notices an identification number that is printed centrally, and
supplied to the field designated with an SSA-L______ or SSA______. Blank spaces referred
to as “fill-ins,” provide the ability to add specific details relating to the disabled
individual situations.
SSA form letters contain universal notice heading that distinguishes Title XVI notices
from Title II notices and includes a variable third line heading. These letters do
not require a complimentary closing. You will not need salutations and do not use
the titles (Mr., Mrs., Miss or Ms.) in the address. Include the name and title of
the supervising regional commissioner on the DDS notices on which the name and title
of an SSA official is appropriate. For processing center (PC) notices, show the PC
director's name and title.
When a preprinted form notice is unavailable, the DDS will generate the entire notice
using blank form notices and stock paragraphs on the appropriate letterhead. For form
notice instructions, see NL 00701.000.