BASIC (10-10)

RM 03256.004 Transcribe Plan Information Onto SSA-L99-C1 (4404)

A. Screen pension plan forms to resolve exceptions.

Upon locating the correct Schedule SSA on microfilm, proceed as follows:

NOTE: A sample Schedule SSA is located in RM 03299.003 as Exhibit 1.

1. Screen items 5(a) and 5(b) on the Schedule SSA for the SSN and name which corresponds with that shown for the participant on the SSA-L99-C1.

a. Item located — Proceed according to RM 03256.004A. 2. in this section.

b. Item not located — Annotate SSA-L99-C1 “UTL” (Unable to Locate) in the upper right corner. Refer case to OEEAS, EUCDB.

NOTE: Use BLACK PENCIL

2. Obtain the missing information from the Schedule SSA by using the numbered items on the Schedule SSA as indicated in RM 03256.004B in this section.

B. Transcribe the missing information.

Access the SSA-L99-C1 on the local Shared Drive. Transcribe the missing information onto the SSA-L99-C1 as follows:

1. Plan name

Transcribe directly below “Plan Name.”

2. Plan number

NOTE: Numbers will be combined to form a twelve digit Plan Number, consisting of the nine digit EIN, Employer Identification Number and the three digit Plan Number, e.g., 12-3456789-001.

Transcribe directly to the right of “Plan Number.”

3. Plan administrator

Transcribe complete name and address directly below “Plan Administrator.”

4. Identification number

Transcribe the nine digit identification number directly to the right of “Identification Number.”

C. Completed work

Review completed work and mail to number holder.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0103256004
RM 03256.004 - Transcribe Plan Information Onto SSA-L99-C1 (4404) - 11/02/2010
Batch run: 11/02/2010
Rev:11/02/2010