TN 4 (05-92)
RM 05015.003 Preparing and Handling Form SSA-6629 - General
Form SSA-6629, Correspondence Control Sheet must be prepared for each piece of correspondence controlled by MICES. Information from the form is entered into MICES.
NOTE: If the correspondence is received from an employer, institution, lawyer or other third party questioning, correcting, etc., an employee's/beneficiary's record, we control the case under the name of the employee/beneficiary.
B. Exhibit — Form SSA-6629
Printer Friendly Version
C. Procedure — preparing Form SSA-6629
Complete the form SSA-6629 as shown below.
1. Control ID (CID)
Place a bar code label in this space.
2. Social Security Number (SSN)
For employee numerical, fill in the 9-digit SSN.
For employee alphabetical, fill in your 3-digit mod number and the last 6-digits of the CID.
3. EIN (Employer Identification Number)
For the employer numerical, fill in the 9-digit EIN.
For the employer alphabetical, fill in your 3-digit mod number and the last 6-digit of the CID.
4. Name - (Employee [EE])
NOTE: Do not enter courtesy titles (e.g., Mr., Brother, General, Doctor).
NOTE: Those cases that require a signature (e.g., pension und requests) must be returned and should not be controlled without a proper signature.
5. Employer (ER)
EXCEPTION: Do not show articles “a” “an” and “the” if they appear as the first word of the employer's name.
NOTE: Those cases that require a signature (e.g., pension fund requests), must be returned and should not be controlled without proper signature.
6. Initiate Date
Enter a 6 digit date (YYMMDD).
NOTE: Do not enter a date later than the current date.
Letters - Use the date on the postmark. If the date on the postmark is illegible or unavailable, use the date of the letter. If neither of these is available, use the earliest time stamp date shown on the envelope or the letter that indicates the age of the correspondence. If none of the above exists, use the current date.
SSA communications - Use the date of the most recent communication. If there is none, use the earliest time stamp date shown on the most recent communication.
Reimbursables - Use the date the request was signed by the wage earner or his/her guardian.
NOTE: Do not use any other date.
7. Receipt Date
Enter the 6-digit date (YYMMDD) the case was received in the Mail and Work Distribution Section (MWDS) i.e., the mail room time stamp date.
NOTE: The receipt date is the current date.
8. Current Location
Fill in the appropriate 8 character location as indicated in the sample below.
Where “1” is a constant (preprinted on form) indicates a DCC module, “NN” is the 2-digit module number “XXX” is the 3- digit function code, and “MM” is the 2-digit Technician Number. Listed below is the various function codes.
AIC - Accounts Investigation Clerk
COE - Coverage Examiner
DHF - Development Request
ECT - Claims Technician
MHF - Interface Requests
REC - R