TN 2 (09-85)

GN 01704.745 Claims Packages for Belgian Agencies

A. General

The Belgian agencies do not require U.S. earnings information. However, they may use U.S. coverage to establish the “recency of coverage” requirement for Belgian disability benefits. Since Belgium rarely uses U.S. coverage, do not send an E/R unless it is requested by a Belgian agency.

The Belgian agencies will forward Belgian earnings certifications only at the request of OIO.

After CAs have made a determination on any RSDI claims, the BETs should prepare initial totalization claims packages for the appropriate Belgian agency.

B. Claim filed with DO or directly with OIO—Initial packages

1.Unrestricted2. Restricted to U.S.3.Restricted to Belgium
a.Claimant is PETa. Claimant is PETa.SSA-2960-U2-BE complete all applicable sections of the form.
1)SSA-2960-U2-BE complete all applicable sections of the form including part V.B. (Request for Belgian Coverage Record)SSA-2960-U2-BE complete only part I, A., B., D. and part V.B. (Request for Belgian coverage record)b.Evidence submitted in support of claim for Belgian benefits.
2)Evidence submitted in support of claim for Belgian benefitsIf the Belgian social insurance number is unknown, also complete part II.A.  
b.Claimant is Non-PETb. Claimant is Non-PET  
1)SSA-2960-U2-BE complete all applicable sections of form.Do not prepare a package.  
2)Evidence submitted in support of claim for Belgian benefits.   

 

C. Claim Filed at Belgian Agency

1.Unrestricted2. Restricted to U.S.3. Restricted to Belgium
a.
 
1)
Claimant is PET
 
SSA-2960-U2-BE complete part I, A., B., D. and part V.B.
(Request for Belgian coverage record.)
a. Claimant is PET
 
SSA-2960-U2-BE complete only part I, A., B., D. and part V.B. (Request for Belgian Coverage Record)
OIO will learn of these claims only if a Belgian agency requests information or documentation.
 Also complete applicable sections if Belgium requests information.  
2)Any information or documentation requested by Belgian agency.  
b.Claimant is non-PETb. Claimant is non-PET 
 Respond to any requests from the Belgian agency.Do not prepare a package. 

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