The overprinted SSA-3428-U2 is used to document a totalization disallowance and to
designate the disallowance letter and appropriate paragraphs. It is used to document
disallowances for all claimants who are being denied. Auxiliaries listed on the totalization
application are shown on the overprinted SSA-3428-U2.
This form is also completed when an auxiliary's claim is being denied but the worker's
claim is being awarded; e.g., the worker, age 65, listed a young spouse on the application
but there are no minor children.