TN 1 (06-86)
To expedite processing of disability claims the following instructions should be carefully
followed. Punch holes in the left margin of all file materials, not already prepunched,
in accordance with GN 01050.150C. Enter NH's name and SSN on each piece of material not containing this information
and remove any staples which will impede review of the case material in the DDS or
ODO. Assemble the claims material on prongs in the following order from bottom to
top. Excluded material is described in GN 01050.150B.
Application Form—The SSA-16-F6 and any statement which changes answers on the application
form. If auxiliary applications are involved, place the lowest numbered application
on top of the SSA-16-F6, the second lowest next, etc. In a DWB or CDB only case, if
the application (SSA-10-BK, SSA-4-F6, etc.) is not sent to the PSC, place it in the
same location which the SSA-16-F6 occupies in a DIB case.
SS-5 or equivalent
Proof of age
Other proofs (except medical evidence).—This includes forms like SSA-760-F4, SSA-11
Nondisability correspondence and reports in chronological order with the most recent
SSA-794-C1.—If the case is forwarded to ODO for a determination of disability, the
original, recertified, or photocopy of the SSA-794-C1 and any other developed earnings
information must be included in the file.
SSA-7011, SSA-1002, certification of RRB compensation forms; SEI evidence; and any
other primary or secondary wage evidence.
Special determination on SSA-553, SSA-7010-U5 or SSA-4500-U6
SSA-827 series forms or other forms authorizing release of medical information.
Disability correspondence and reports in chronological order, most recent on top.
Material on continuing disability investigation or work activity after alleged date
Authorization to release copy of award or disallowance notice for a private retirement
plan administered by an employer or union.
SSA-5002 reporting circumstances requiring special case handling in ODO such as hardship.
Current SSA-831-U5—If a DIB claim is forwarded together with a CDB auxiliary claim,
place the SSA-831-U5 for the DIB claims on top in the DIB folder and the SSA-831-U5
for the CDB claim on top in the CDB folder.
NOTE: When the case is to be routed to ODO or INTPSC, send only the top three copies of
the SSA-831-U5. The remaining copies can be destroyed.
Bar Code Label
Place the following material on prongs on the left side of the folder in the following
order from bottom to top:
SSA-101-U3 (Determination of Award), if prepared.
Request for SSA information by State mental institutions.
Prepare separate folders where DIB and CDB or DWB are being forwarded. See GN 01050.170 and GN 01050.175.
Show the child's or widow's full name and the WE's name and SSN on each piece of evidence
for the child or widow.