TN 13 (11-11)

GN 01010.390 Sample Special Determinations - Exhibits

The following exhibits illustrate the proper format for formal and informal determinations.

A. Exhibit 1 - Formal Determination

G-GN_01010.390-1

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B. Exhibit 2 - Informal Determination

G-GN_01010.390-2

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C. Exhibit 3 - Formal Determination on report of contact (RPOC) Screen in Modernized Claims System (MCS)

G-GN_01010.390-3

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To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0201010390
GN 01010.390 - Sample Special Determinations - Exhibits - 11/15/2011
Batch run: 11/15/2011
Rev:11/15/2011