| Section |
|
Latest
Transmittal |
| Disability Insurance Benefits (DIB)
|
| NL 00705.010 |
Model Letter “K” - Statutory Blindness Freeze Allowance - DIB Denial - Claimant Age 55 or Over |
|
| NL 00705.015 |
Model Letter “L” - Freeze Allowance |
|
| NL 00705.020 |
Model Letter “M” - Forwarding Notice Of Determination to Person Having Custody |
|
| NL 00705.025 |
Model Letter “N” - Forwarding Notice of Determination To Claimant |
|
| NL 00705.030 |
Model Letter “O”- Closed Period Of Disability Established |
|
| NL 00705.050 |
Model Letter “S” - Statutorily Blind -Established Onset Date Before 1973 - No 20/40 Or Fully Insured
-Disabled Age 31 or Later
|
|
| NL 00705.055 |
Model Letter “T”—Statutorily Blind—Established Onset Date 1973 Or Later—Not Fully Insured At EOD Or
Later
|
|
| NL 00705.060 |
Model Letter “U”—DIB Denial—Lack Of Severity—AQD 1973 Or Later—Alleged Disability Due To Statutory
Blindness And Other Impairment(s)
|
|
| NL 00705.065 |
Model Letter “V” — CDB Reentitlement — Alleged Onset Date After End Of 7 Years After Prior Cessation |
|
| NL 00705.070 |
Initial DIB, DWB, or CDB Denial—Does Not Wish To Pursue |
|
| NL 00705.075 |
Notice Of Revision—Title II Allowance To Denial—Claimant Engaged in SGA |
TN BASIC 11-81 |
| NL 00705.080 |
Model Letter Notifying Claimant Earnings Test Not Met On Or After Date Of Onset |
TN BASIC 11-81 |
| NL 00705.085 |
DWB Denial—Subsequent to Prior Medical Denial That Claimant Not Disabled During Prescribed
Period
|
|
| NL 00705.110 |
Model Letter “G”—Request For Reconsideration Filed On Denied Application Involving Issues Identical
To Previously Denied Application—Same Law Applies
|
|
| NL 00705.130 |
Letter To Appellant Advising Of Review Of Previous Determination |
|
| NL 00705.135 |
Letter To Appellant Informing That Request For Hearing Has Been Forwarded To ODAR
Since Reconsideration Determination Remains Unchanged
|
TN BASIC 11-81 |
| NL 00705.145 |
Interim Letter To Claimant—Claim Sent To DDS/ODO |
TN BASIC 11-81 |
| NL 00705.165 |
Model Letter — DIB, DWB, or CDB Reconsideration Affirmation — Does Not Wish to Pursue |
|
| NL 00705.170 |
Model Letter — Reconsideration Affirmation of Initial Medicare Coverage Only |
|
| DDS Reopening Notices
|
| NL 00705.201 |
Reopening 1 – Allowance to Denial – Title II |
TN 13 06-09 |
| NL 00705.206 |
Reopening 2 – Allowance to Denial – Title XVI |
TN 13 06-09 |
| NL 00705.211 |
Reopening 3 – Auxiliary – Title II |
TN 13 06-09 |
| NL 00705.216 |
Reopening 4 – Allowance to Closed Period – Title II |
TN 13 06-09 |
| NL 00705.221 |
Reopening 5 – Allowance to Closed Period – Title XVI |
TN 13 06-09 |
| NL 00705.226 |
Reopening 6 - Denial to Partially Favorable Onset (Not AOD) Title II |
TN 13 06-09 |
| NL 00705.231 |
Reopening 7 - Denial to Partially Favorable Onset (Not AOD) Title XVI |
TN 13 06-09 |
| NL 00705.236 |
Reopening 8 - Denial to Closed Period - Title II |
TN 13 06-09 |
| NL 00705.241 |
Reopening 9 - Denial to Closed Period - Title XVI |
TN 13 06-09 |
| NL 00705.246 |
Reopening 10 - Fully Favorable or Partially Favorable Onset to a Later Onset – Title
II
|
TN 13 06-09 |
| NL 00705.251 |
Reopening 11 – Fully Favorable or Partially Favorable Onset to a Later Onset – Title
XVI
|
TN 13 06-09 |
| NL 00705.256 |
Reopening 12 – No Change in Basis or End Result - Claimant Aware or Denial of Request
to Reopen and Revise – Title II or Title XVI
|
TN 13 06-09 |
| NL 00705.261 |
Reopening 13 - Change in Basis – Blind to Disabled – Title II |
TN 13 06-09 |
| NL 00705.266 |
Reopening 14 - Change in Basis – Blind to Disabled – Title XVI |
TN 13 06-09 |
| Continuing Disability Actions
|
| NL 00705.300 |
Letter No. 1—Freeze Cessation—Work Activity—No DIB Or RIB Application Filed |
|
| NL 00705.305 |
Letter No. 2—Freeze Cessation—Medical—No DIB Or RIB Application Filed |
|
| NL 00705.310 |
Letter No. 3—Freeze Cessation—Work Activity—DIB Denial—No RIB Application Filed |
|
| NL 00705.315 |
Letter No. 4—Freeze Cessation—Medical—DIB Denial—No RIB Application Filed |
|
| NL 00705.320 |
Letter No. 5—Freeze Cessation—Whereabouts Unknown Or Failure to Cooperate—No DIB Or
RIB Application Filed
|
|
| NL 00705.325 |
Letter No. 6—Freeze Continuance Under Age 65 |
|
| NL 00705.330 |
Letter No. 7—Freeze Continuance—DIB Denial (Statutory Blindness)—Claimant Under Age
55
|
|
| NL 00705.335 |
Letter No. 8—DIB Continuance—9 Month Trial Work Period -Voluntary Report Of Return
To Work After Age 64—No Medical Reexamination Scheduled
|
|
| NL 00705.350 |
Continuing Disability Review (CDR) Cover Letter |
TN 10 05-93 |
| NL 00705.354 |
Continuing Disability Review (CDR) Come-In Notice |
TN 25 08-23 |
| NL 00705.355 |
Continuing Disability Review (CDR) Deferral Notice |
TN 11 03-04 |
| NL 00705.356 |
Continuing Disability Review (CDR) Continuance Notice (Children Under Age 16) |
TN 25 08-23 |
| NL 00705.357 |
Continuing Disability Review (CDR) Continuance Notice (Children Ages 16-17) |
TN 25 08-23 |
| NL 00705.358 |
Continuing Disability Review (CDR) Cessation Notice |
TN 25 08-23 |
| NL 00705.359 |
Continuing Disability Review (CDR) Non-Responder |
TN 19 06-15 |
| Miscellaneous
|
| NL 00705.500 |
Model Letter Of Interim Notice To Claimant Of Delayed Reopening Action |
TN BASIC 11-81 |
| NL 00705.505 |
Model Letter—Undeliverable Correspondence |
TN BASIC 11-81 |
| Prisoner Model Letters
|
| NL 00705.520 |
Prisoner Model Letter “S”—Felony Related Impairment—DIB, CDB |
|
| NL 00705.525 |
Prisoner Model Letter “T”—Felony Related Impairment—DWB |
|
| NL 00705.530 |
Prisoner Model Letter “U”—Incarceration Related Impairment—DIB Freeze Established |
|
| NL 00705.535 |
Prisoner Model Letter “V”—Incarceration Related Impairment—CDB, DWB |
|
| NL 00705.540 |
Prisoner Model Letter “W”—Felony and Non-Felony Related Impairments—DIB, CDB, DWB |
|
| NL 00705.545 |
Prisoner Model Rider “X”—Incarceration and Non-Incarceration Related Impairment—CDB, DWB |
|
| Medicare Coverage Only
|
| NL 00705.600 |
Model Letter“Q”—Medicare Coverage Only—CDB—Lack Of Severity |
|
| NL 00705.605 |
Model Letter “R”—Medicare Coverage Only—CDB—Not Disabled Within 7 Years After Prior Cessation |
|
| Case Development Correspondence
|
| NL 00705.720 |
Adult Initial Case Development Letter - Sample |
TN 14 04-11 |
| NL 00705.725 |
Child Initial Case Development Letter - Sample |
TN 14 04-11 |
| NL 00705.730 |
Cover Letter - Function Report - Adult (Form SSA-3373-BK) - Sample |
TN 14 04-11 |
| NL 00705.735 |
Claimant Call-in Letter - Sample |
TN 20 04-19 |
| NL 00705.740 |
Third Party Call-in Letter - Sample |
TN 21 02-20 |
| NL 00705.745 |
Consultative Examination (CE) Appointment Notice and Forms |
TN 24 05-23 |
| NL 00705.747 |
Claimant Consultative Examination Confirmation Call In Letter |
TN 28 07-24 |
| NL 00705.748 |
Third Party Consultative Examination Confirmation Call In Letter |
TN 28 07-24 |
| NL 00705.753 |
Consultative Examination Report to Medical Source Cover Letter |
TN 29 10-24 |
| NL 00705.755 |
Medical Deferment Letter |
TN 27 05-24 |
| NL 00705.770 |
Letter Requesting Medical Evidence of Record |
TN 26 03-24 |