IMPORTANT: The following UTIs are only for use in an initial claim, appeal, or request to reopen
processed using the instructions in this section. Do not use standard notice language.
CAS018 with Fill-ins (Used only when widow(er)’s benefits are awarded as a result
of
reopening pursuant to Ely):
As requested, we reviewed *F1 case again to determine if we should revise our *F2
denial for *F3 benefits based on the Social Security Record of *F4 late spouse.
Fill-in values:
|
Fill-in *F1
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|
Choice 1
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your
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Choice 2
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Beneficiary's Name (possessive)
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Fill-in *F2
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Date of the denial notice for widow's or widower's benefits that the individual requested
SSA reopen
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Fill-in *F3
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Choice 1
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widow's
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Choice 2
|
widower's
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Fill-in*F4
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Choice 1
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your
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Choice 2
|
his
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Choice 3
|
her
|
CAS019 with Fill-ins (Used in award notices):
On May 27, 2020, the United States District Court for the District of Arizona certified
a nationwide class in the case, Ely v. Saul. Ely involves certain claims for Social Security widow's or widower's benefits filed by
the surviving member of a same-sex married couple. In Ely, we denied a claim because we found that the couple's marriage did not last long
enough to meet the Social Security Act's 9-month duration of marriage requirement.
The District Court decided that we could not deny claims for Social Security widow's
or widower's benefits filed by the surviving member of same-sex couples just because
the marriage did not last for 9 months. The District Court decided that we also had
to consider whether the couple would have married in time to satisfy the 9-month requirement
if they had not been prevented from doing so by an unconstitutional State law.
After reviewing *F1, we have determined that *F2 entitled to additional consideration
pursuant to Ely. We reviewed *F3 claim and decided that *F4 and *F5 spouse would have been married
for at least 9 months if *F6 had not been prevented from marrying by an unconstitutional
State law. Therefore, under Ely, we will not deny *F7 claim based on the Social Security Act's 9-month duration of
marriage requirement.
Fill-in values:
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Fill-in *F1 for initial claim awards
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Choice 1
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your application
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Choice 2
|
Beneficiary's Name (possessive) application
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Fill-in *F1 for awards that are the result of a reopening
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|
Choice 1
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your case again
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Choice 2
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Beneficiary's Name (possessive) case again
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Fill-in *F2
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Choice 1
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you are
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Choice 2
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he is
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Choice 3
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she is
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Fill-in *F3
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|
Choice 1
|
your
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Choice 2
|
his
|
Choice 3
|
her
|
Fill-in *F4
|
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Choice 1
|
you
|
Choice 2
|
Beneficiary's Name
|
Fill-in *F5
|
|
Choice 1
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your
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Choice 2
|
his
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Choice 3
|
her
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Fill-in *F6
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Choice 1
|
you
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Choice 2
|
they
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Fill-in *F7
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Choice 1
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your
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Choice 2
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Beneficiary's Name (possessive)
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CAS020 (No Fill-ins) (Used in award, denial, and refusal to reopen notices):
Lambda Legal, the Office of Brian Clymer, Attorney at Law, and Menard Disability Law
represent the members of the Ely class action. Their contact information is below. You may contact them if you have
any questions about the Ely class action.
Peter C. Renn
Lambda Legal
4221 Wilshire Boulevard, Suite 280
Los Angeles, CA 90010-3512
Telephone: 213-382-7600
Email: Elyclassmembers@lambdalegal.org
Brian Clymer
Attorney at Law
P.O. Box 43277
Tucson, AZ 85733-3277
Telephone: 520-323-1234
Email: bclymer@clymerlegal.com
Autumn Menard
Menard Disability Law
177 North Church Avenue, Suite 200
Tucson, AZ 85701
Telephone: 520-276-1576
Email: autumn@menarddisabilitylaw.com
CAS021 with Fill-ins (Used in denial notices for claims processed pursuant to
Ely):
On May 27, 2020, the United States District Court for the District of Arizona certified
a nationwide class in the case, Ely v. Saul. Ely involves certain claims for Social Security widow's or widower's benefits filed by
the surviving member of a same-sex married couple. In Ely, we denied a claim because we found that the couple's marriage did not last long
enough to meet the Social Security Act's 9-month duration of marriage requirement.
The District Court decided that we could not deny claims for Social Security widow's
or widower's benefits filed by the surviving member of same-sex couples just because
the marriage did not last for 9 months. The District Court decided that we also had
to consider whether the couple would have married in time to satisfy the 9-month requirement
if they had not been prevented from doing so by an unconstitutional State law.
We have reviewed *F1 application for *F2 benefits based on the Social Security record
of *F3 late spouse. As required by the District Court's decision in Ely, we considered whether an unconstitutional State law prevented *F4 from marrying
*F5 spouse earlier than *F6 did. After reviewing the information in *F7 case, we determined
that an unconstitutional State law did not prevent *F8 and *F9 spouse from being married
for at least 9 months.
Because *F10 not married to *F11 spouse for 9 months, *F12 not entitled to Social
Security benefits as a *F13.
Fill-in values:
|
Fill-in *F1
|
|
Choice 1
|
your
|
Choice 2
|
Beneficiary's Name (possessive)
|
Fill-in *F2
|
|
Choice 1
|
widow's
|
Choice 2
|
widower's
|
Fill-in *F3
|
|
Choice 1
|
your
|
Choice 2
|
his
|
Choice 3
|
her
|
Fill-in *F4
|
|
Choice 1
|
you
|
Choice 2
|
Beneficiary's Name
|
Fill-in *F5
|
|
Choice 1
|
your
|
Choice 2
|
his
|
Choice 3
|
her
|
Fill-in *F6
|
|
Choice 1
|
you
|
Choice 2
|
he
|
Choice 3
|
she
|
Fill-in *F7
|
|
Choice 1
|
your
|
Choice 2
|
Beneficiary's Name (possessive)
|
Fill-in *F8
|
|
Choice 1
|
you
|
Choice 2
|
Beneficiary's Name
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Fill-in *F9
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Choice 1
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your
|
Choice 2
|
his
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Choice 3
|
her
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Fill-in *F10
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Choice 1
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you were
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Choice 2
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(Beneficiary's Name) was
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Fill-in *F11
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Choice 1
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your
|
Choice 2
|
his
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Choice 3
|
her
|
Fill-in *F12
|
|
Choice 1
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you are
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Choice 2
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(Beneficiary's Name) is
|
Fill-in *F13
|
|
Choice 1
|
widow
|
Choice 2
|
widower
|
CAS023 with Fill-ins (Used in refusal to reopen notices for reopening requests
processed pursuant to Ely):
As requested, we reviewed *F1 case again to determine if we should revise our *F2
denial for *F3 benefits based on the Social Security Record of *F4 late spouse.
On May 27, 2020, the United States District Court for the District of Arizona certified
a nationwide class in the case, Ely v. Saul. Ely involves certain claims for Social Security widow's or widower's benefits filed by
the surviving member of a same-sex married couple. In Ely, we denied a claim because we found that the couple's marriage did not last long
enough to meet the Social Security Act's 9-month duration of marriage requirement.
The District Court decided that we could not deny claims for Social Security widow's
or widower's benefits filed by the surviving member of same-sex couples just because
the marriage did not last for 9 months. The District Court decided that we also had
to consider whether the couple would have married in time to satisfy the 9-month requirement
if they had not been prevented from doing so by an unconstitutional State law.
As required by the District Court's decision in Ely, we considered whether an unconstitutional State law prevented *F5 from marrying
*F6 spouse earlier than *F7 did. After reviewing the information in *F8 case again,
we determined that an unconstitutional State law did not prevent *F9 and *F10 spouse
from being married for at least 9 months.
Because *F11 not married to *F12 spouse for 9 months, *F13 not entitled to Social
Security benefits as a *F14. Therefore, we cannot revise our previous denial for benefits
based on the Social Security Record of your *F15 spouse.
Fill-in values:
|
Fill-in *F1
|
|
Choice 1
|
your
|
Choice 2
|
Beneficiary's Name (possessive)
|
Fill-in *F2
|
Date of the denial notice for widow’s or widower’s benefits that the individual requested
SSA reopen
|
Fill-in *F3
|
|
Choice 1
|
widow's
|
Choice 2
|
widower's
|
Fill-in *F4
|
|
Choice 1
|
your
|
Choice 2
|
his
|
Choice 3
|
her
|
Fill-in *F5
|
|
Choice 1
|
you
|
Choice 2
|
Beneficiary's Name
|
Fill-in *F6 |
|
Choice 1
|
your
|
Choice 2
|
his
|
Choice 3
|
her
|
Fill-in *F7
|
|
Choice 1
|
you
|
Choice 2
|
he
|
Choice 3
|
she
|
Fill-in *F8
|
|
Choice 1
|
your
|
Choice 2
|
Beneficiary's Name (possessive)
|
Fill-in *F9 |
|
Choice 1
|
you
|
Choice 2
|
Beneficiary's Name
|
Fill-in *F10
|
|
Choice 1
|
your
|
Choice 2
|
his
|
Choice 3
|
her
|
Fill-in *F11
|
|
Choice 1
|
you were
|
Choice 2
|
(Beneficiary's Name) was
|
Fill-in *F12
|
|
Choice 1
|
your
|
Choice 2
|
his
|
Choice 3
|
her
|
Fill-in *F13
|
|
Choice 1
|
you are
|
Choice 2
|
(Beneficiary's Name) is
|
Fill-in *F14
|
|
Choice 1
|
widow
|
Choice 2
|
widower
|
Fill-in *F15
|
|
Choice 1
|
your
|
Choice 2
|
Beneficiary's Name (possessive)
|
CAS031 with fill-ins (Used in award notices for claims processed pursuant to
Ely):
We invite you to visit our website at www.ssa.gov on the Internet to find general
information about Social Security. If you have any specific questions, you may call
us toll-free at 1-800-772-1213, call your local Social Security office at *F1, or
contact your Regional Communications Director (RCD). To find your RCD’s phone number
and email address, visit https://www.ssa.gov/agency/rcds.html online. We can answer most questions over the phone. If you are deaf or hard of hearing,
you may call our TTY number, 1-800-325-0778. You can also write or visit any Social
Security office. The office that serves your area is located at:
*F2
*F3
*F4
*F5
If you do call or visit an office, please have this letter with you. It will help
us answer your questions. Also, if you plan to visit an office, you may call ahead
to make an appointment. This will help us serve you more quickly when you arrive at
the office.
Fill-in values:
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Fill-in *F1
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FO Phone Number
|
Fill-in *F2
|
FO Address Line 1
|
Fill-in *F3
|
FO Address Line 2
|
Fill-in *F4
|
FO Address Line 3
|
Fill-in *F5
|
FO Address Line 4
|