Until the HA-520 is revised to include title VIII, annotate “SVB” or “title VIII”
in the remark's section.
If the claim involves a concurrent title VIII and/or Title II/title XVI issue(s),
indicate that issues other than those related to title VIII are being appealed by
checking the appropriate block.
If the request for review involves an issue not relating to payment entitlement (i.e.,
waiver of overpayment, timely filing, etc.), specify the reason next to “Other.”