TN 37 (07-24)
   
   
   
   
      TER001 CHILD TERMINATED AGE 18 OR 19(T01)
      
      
      (System Generated)
      
      Caption: Your Benefits
      
       (1)   (2)  no longer entitled to Social Security benefits beginning  (3)  .  (4)  benefits are stopping because in that month  (5)  .  (6)  years old, and not disabled, and not a full-time elementary or secondary level school
         student.
      
      
      
      Fill-in values:
         
         Fill-in (1)
            
            
Choice 1: Beneficiary's full Name
            Choice 2: You
         Fill-in (2)
            
            
Choice 1: is
            Choice 2: are
         Fill-in (3)
            
            
Month of termination
         Fill-in (4)
            
            
Choice 1: His
            Choice 2: Her
            Choice 3: Your
         Fill-in (5)
            
            
Choice 1: he is
            Choice 2: she is
            Choice 3: you are
         Fill-in (6)
            
            
Choice 1: 18
            Choice 2: 19
          
    
   
      TER002 CHILD TERMINATED NOT IN FULL-TIME ATTENDANCE (T02)
      
      
      (System Generated)
      
      Caption: Your Benefits
      
       (1)   (2)  no longer entitled to Social Security benefits beginning  (3)  .  (4)  benefits are stopping in that month because:  (5)  not a full-time elementary or secondary level school  student, and  (6)  not disabled.
      
      
      
      Fill-in values:
         
         Fill-in (1)
            
            
Choice 1: Beneficiary's Name
            Choice 2: You
         Fill-in (2)
            
            
Choice 1: is
            Choice 2: are
         Fill-in (4)
            
            
Choice 1: His
            Choice 2: Her
            Choice 3: Your
         Fill-in (5)
            
            
Choice 1: he is
            Choice 2: she is
            Choice 3: you are
         Fill-in (6)
            
            
Choice 1: he is
            Choice 2: she is
            Choice 3: you are
          
    
   
      TER003 CHILD TERMINATED AFTER AGE 19(T04)
      
      
      (Requested/Generated)
      
      Caption: Your Benefits
      
       (1)   (2)  no longer entitled to student benefits beginning  (3)  . Student benefits normally end with the payment before the month the student turns
         19. But,  (4)  met an exception which allowed benefits to continue past that month. The exception
         allows benefits to continue
      
      
      
         - 
            
               • 
                  for two months after the student turns 19, or 
 
 
- 
            
               • 
                  until the end of the school term, whichever comes first. 
 
 
However, if the school requires a student to reenroll each quarter or semester, benefits
         may continue until that quarter or semester ends.  (5)  no longer  (6)  the exception beginning  (7)  , so  (8)  student benefits end that month.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: Beneficiary's name
            Choice 2: You
         Fill-in (2) - Systems Generated
            
            
Choice 1: is
            Choice 2: are
         Fill-in (3) - Requested As A Date In Format Shown Below
            
            
MM/CCYY (Month of termination)
         Fill-in (4) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
            Choice 4: they
         Fill-in (5) - Systems Generated
            
            
Choice 1: You
            Choice 2: He
            Choice 3: She
            Choice 4: They
         Fill-in (6) - Systems Generated
            
            
Choice 1: meet
            Choice 2: meets
         Fill-in (7) - Requested As A Date In Format Shown Below
            
            
MM/CCYY (Month of termination)
         Fill-in (8) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
            Choice 4: their
          
    
   
      TER010 SPOUSE OR SURVIVING DIVORCED MOTHER/FATHER TERMINATED CHILD AGE 16/18 NOT DISABLED
         (T03) (T36)
      
      
      (Requested)
      
      Caption: Your Benefits
      
       (1)  no longer entitled to Social Security benefits beginning  (2)  . To be entitled,  (3)  must be taking care of a child who is entitled to benefits. That child must be under
         age 16 or disabled. In  (4)  ,  (5)  child  (6)  .
      
      
      
      Fill-in values:
         
         Fill-in (1) – Systems Generated
            
            
Choice 1: Beneficiary's Name (not possessive) + is
            Choice 2: You are
         Fill-in (2) – Systems Generated
            
            
TERM date in the format MMCCYY
         Fill-in (3) – Systems Generated
            
            
Choice 1: they
            Choice 2: you
         Fill-in (4) – Systems Generated
            
            
TERM date in the format MMCCYY
         Fill-in (5) – Systems Generated
            
            
Choice 1: their
            Choice 2: your
            
         Fill-in (6) - Requested As A One Position Alpha Character
            
            
Choice 1: (A) became age 16
            Choice 2: (B) is no longer disabled
            Choice 3: (C) longer qualifies for Social Security disability
               benefits
            
          
    
   
      TER016 STEPCHILD'S BENEFITS TERMINATED - NATURAL PARENT AND STEPPARENT DIVORCED (T05)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      We can no longer pay  (1)  because  (2)  and  (3)  were divorced in  (4)  .
      
      
      
      Fill-in values:
         
         Fill-in (1) – Systems Generated
            
            
Choice 1: you
            Choice 2: Beneficiary's Name
         Fill-in (2) – Systems Generated
            
            
Choice 1: your father
            Choice 2: her father
            Choice 3: his father
            Choice 4: your mother
            Choice 5: her mother
            Choice 6: his mother
         Fill-in (3) – Systems Generated
            
            
NH First + NH Last Name
         Fill-in (4) – Systems Generated
            
            
Date
          
    
   
      TER039 TERMINATION NOTICE - LEAD-IN (G54)
      
      
      (System Generated)
      
      Caption: None
      
      We are writing to tell  (1)  that  (2)  for  (3)  benefits beginning  (4)  .
      
      
      
      Fill-in values:
         
         
         Fill-in (2)
            
            
Choice 1: you no longer qualify
            Choice 2: Beneficiary's name + no longer qualifies
         Fill-in (3)
            
            
Choice 1: disability
            Choice 2: retirement
            Choice 3: wife’s
            Choice 4: husband’s
            Choice 5: child’s
            Choice 6: widow’s
            Choice 7: widower’s
            Choice 8: mother’s
            Choice 9: father’s
            Choice 10: disabled widow’s
            Choice 11: disabled widower’s
            Choice 12: disabled divorced widow’s
            Choice 13: disabled divorced widower’s
            Choice 14: NULL
          
    
   
      TER040 CATEGORY D NOTICE LEAD-IN (G55)
      
      
      (System Generated)
      
      Caption: None
      
      We are writing to tell  (1)  that beginning  (2)  we are stopping the  (3)  benefits which  (4)  received.
      
      
      
      Fill-in values:
         
         Fill-in (1)
            
            
Choice 1: you
         Fill-in (3)
            
            
Choice 1: disability
            Choice 2: retirement
            Choice 3: survivor
         Fill-in (4)
            
            
Choice 1: you
            Choice 2: Beneficiary's name
          
    
   
      TER041 MARRIAGE OF BENEFICIARY (T11)
      
      
      (System Generated)
      
      Caption: Your Benefits
      
      We can no longer pay  (1)  because  (2)  married in that month.
      
      
      
      Fill-in values:
         
         Fill-in (1)
            
            
Choice 1: you
            Choice 2: Beneficiary's name
         Fill-in (2)
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
            Choice 4: Beneficiary's name
          
    
   
      TER042 DIVORCE OF BENEFICIARY (T12)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      We can no longer pay  (1)  because  (2)  and  (3)  were divorced in that month.
      
      
      
      Fill-in values:
         
         Fill-in (1) – Systems Generated
            
            
Choice 1: you
            Choice 2: Beneficiary's name non-possessive
         Fill-in (2) – Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (3) – Systems Generated
            
            
NH's full name
          
    
   
      TER043 DATE OF TERMINATION FOR AWARD LETTERS (T14)
      
      
      (Requested)
      
      Caption: Your Benefits
      
       (1)  no longer  (2)  for benefits beginning  (3)  .
      
      
      
      Fill-in values:
         
         Fill-in (1) – Systems Generated
            
            
Choice 1: You
            Choice 2: Beneficiary's name
         Fill-in (2) – Systems Generated
            
            
Choice 1: qualify
            Choice 2: qualifies
         Fill-in (3) Requested As A Date in Format Shown Below
            
            
MM/CCYY
          
    
   
      TER044 WIDOW/WIDOWER CLAIMANT TERMINATED CHILD AGE 16 AND NOT DISABLED (T15)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      To be entitled to benefits as  (1)   (2)  ,  (3)  must be taking care of  (4)  child. And, that child must be under age 16 or disabled, and entitled to child's
         benefits from Social Security.
      
      
      
      Fill-in values:
         
         Fill-in (1) – Systems Generated
            
            
NH's name (possessive)
         Fill-in (2) Requested As A One Position Alpha Character
            
            
Choice 1: (A) widow
            Choice 2: (B) widower
         Fill-in (3) – Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (4) – Systems Generated
            
            
Choice 1: his
            Choice 2: her
          
    
   
      TER045 DIB/CDB CESSATION WORK ACTIVITY NO TRIAL WORK PERIOD (T21)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      After reviewing all the information carefully, we have decided that  (1)  now able to work.  (2)  no longer disabled according to our rules as of  (3)  .
      
      
       (4)  entitled to checks for that month and the next two months. The last month for which
          (5)  entitled to a check is  (6)  .
      
      
      
      Fill-in values:
         
         Fill-in (1) – Systems Generated
            
            
Choice 1: you are
            Choice 2: Beneficiary's name is
         Fill-in (2) – Systems Generated
            
            
Choice 1: You are
            Choice 2: He is
            Choice 3: She is
         Fill-in (3) Requested As A Date In Format Shown Below
            
            
MM/CCYY
         Fill-in (4) – Systems Generated
            
            
Choice 1: You are
            Choice 2: He is
            Choice 3: She is
         Fill-in (5) – Systems Generated
            
            
Choice 1: you are
            Choice 2: he is
            Choice 3: she is
         Fill-in (6) Requested As A Date In Format Shown Below
            
            
MM/CCYY
          
    
   
      TER046 DIB OR CDB CESSATION WHEREABOUTS UNKNOWN OR FAILURE TO COOPERATE REQUESTED INFORMATION
         NOT SUBMITTED (T23)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      We asked  (1)  to help us get information we need to decide if  (2)  still disabled because of health problems.  (3)  not  (4)  which we requested. Therefore, we have found that  (5)  not disabled according to our rules as of  (6)  .
      
      
       (7)  entitled to checks for that month and the next two months. The last month for which
          (8)  entitled to a check is  (9)  .
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: you
            Choice 2: Beneficiary's name is
         Fill-in (2) - Systems Generated
            
            
Choice 1: you are
            Choice 2: he is
            Choice 3: she is
         Fill-in (3) - Systems Generated
            
            
Choice 1: you have
            Choice 2: he has
            Choice 3: she has
         Fill-in (4) - Requested As A One Position Alpha Character
            
            
Choice 1: (A) given us the information
            Choice 2: (B) taken the medical examination
         Fill-in (5) - Systems Generated
            
            
Choice 1: you are
            Choice 2: he is
            Choice 3: she is
         Fill-in (6) - Requested As A Date In Format MM/CCYY
            
            
Choice 1: MM/CCYY
         Fill-in (7) - Systems Generated
            
            
Choice 1: You are
            Choice 2: He is
            Choice 3: She is
         Fill-in (8) - Systems Generated
            
            
Choice 1: you are
            Choice 2: he is
            Choice 3: she is
         Fill-in (9) - Requested As A Date In Format MM/CCYY
            
            
Choice 1: MM/CCYY
          
    
   
      TER047 INDIVIDUAL UNDER AGE 62 (T27)
      
      
      (System Generated)
      
      Caption: Things To Remember
      
      If  (1)   (2)  are again disabled according to our rules before  (3)   (4)   (5)  ,  (6)  should apply again for disability benefits.
      
      
      
      Fill-in values:
         
         Fill-in (1)
            
            
Choice 1: you think
            Choice 2: Beneficiary's name thinks
         Fill-in (2)
            
            
Choice 1: you are
            Choice 2: he is
            Choice 3: she is
         Fill-in (3)
            
            
Choice 1: you reach
            Choice 2: he reaches
            Choice 3: she reaches
         Fill-in (4)
            
            
Choice 1: age 65
            Choice 2: full retirement age
         Fill-in (5)
            
            
Choice 1: 66 and 2 months
            Choice 2: null
         Fill-in (6)
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
          
    
   
      TER048 DIB CESSATION AUXILIARIES IN A SEPARATE HOUSEHOLD N/H NO LONGER DISABLED (T30)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      We recently reviewed  (1)  disability case. After reviewing all the information carefully, we decided  (2)  is no longer disabled according to our rules as of  (3)  .
      
      
      You are entitled to checks for that month and the next two months. The last month
         for which you are entitled to a check is  (4)  .
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: N/H's name (possessive)
         Fill-in (2) - Systems Generated
            
            
Choice 1: he
            Choice 2: she
         Fill-in (3) - Requested As A Date In Format Shown Below
            
            
Choice 1: MM/CCYY
         Fill-in (4) - Requested As A Date In Format Shown Below
            
            
Choice 1: MM/CCYY
          
    
   
      TER049 CESSATION AUXILIARIES IN SAME HOUSEHOLD N/H NO LONGER DISABLED (T31)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      Your  (1)  last check will be for the same months.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Requested As A One Position Alpha Character
            
            
Choice 1: (A) family's
            Choice 2: (B) wife's
            Choice 3: (C) husband's
            Choice 4: (D) children's
            Choice 5: (E) child's
          
    
   
      TER050 CDB REENTITLEMENT (T32)
      
      
      (Requested)
      
      Caption: Things To Remember
      
      If your health gets worse and you think you are disabled again within 7 years, you
         might qualify again for benefits on  (1)  Social Security record. The 7-year period begins with the month after your last disability
         check on this record was due. After the period ends, you could only receive disability
         benefits if you worked long enough to qualify on your own Social Security record.
      
      
      
      Fill-in values:
         
         Fill-in(1) - Systems Generated
            
            
N/H's name (possessive)