TN 3 (02-95)
When claimants file with a Spanish agency and indicate that they wish to file for
U.S. benefits, the Spanish agencies send Form USA/E 2 to the FSP. The Form USA/E 2
is signed by the claimant and indicates intent to file for all benefits for which
the claimant is eligible. DIO and FSPs use the following instructions to develop a
claim or close out the intent to file.
FSP - Follow these steps for processing Form USA/E2.
Determine if the claimant is eligible for U.S. benefits. Consider the claimant eligible
if he/she is not already entitled to benefits, and
has at least six quarters of coverage (QCs) and is within 3 months of age 62 or older,
has at least six QCs and there is an indication that the claimant is disabled, or
meets the requirements for entitlement as a survivor of a deceased NH who has at least
Note: FSP - In making a decision about eligibility, follow procedures routinely used for
developing claims inquiries. To avoid unnecessary development, the FSP may telephone
IBO to request quarters of coverage information.
Develop a U.S. claim or obtain a statement that the claimant does not wish to file
for benefits if the claimant is eligible for benefits. Forward claims material to
IBO and statements that claimant does not wish to file to the totalization modules.
Route Form USA/E 2 to the totalization modules for the CA to promptly dispose of the
claims lead if the claimant is not eligible for U.S. benefits. Annotate the form “not eligible.”
Claims Specialist DIO - Use this procedure to process claims material from the FSP.
If the claimant is eligible and a claim has been filed, process the claim to completion.
If the claimant is eligible and no claim has been filed, retain the statement that
has been submitted by the claimant stating that he/she does not wish to file a claim
in the totalization modules for six months.
If the claimant is already entitled to U.S. benefits, send a notice to advise the
claimant that no additional benefits are payable by the U.S.
If the claimant is not eligible but the NH has at least 6 QCs, send an informal denial
notice with the reason for denial.
If the claimant is not eligible and the NH does not have 6 QCs, send an informal denial
notice. Advise the claimant that at least six U.S. QCs are needed before we can combine
these quarters with credits from another country.