DSEs will screen all foreign agency requests for assistance, and route all requests
for medical examinations or evidence to BETs.
INPS' requests should be on a Form IT/USA 2 or IT/USA 11.
Germany's requests may be on a Form D/USA 3, an A D/USA 6A or any combination of these
Switzerland's requests should be on a Form CH/USA 3, a CH/USA 6, a CH /USA 6A or any
combination of these forms.
Norway's requests will be on a Form N/USA 3.
Belgium's requests will be on a Form BE/USA 3.
Ottawa's requests will be on a Form CAN/USA 2.
Quebec's requests will be on a Form QUE/USA 2.
Obtain consent statements (see GN 01704.500) when requests are received if no claim has been filed under the agreement and there
is no consent statement in the file or attached to the request.
Some foreign agencies may request either medical examinations or medical evidence,
although the Belgian and Norwegian agencies will seldom, if ever, request medical
exams. Ottawa/Quebec should never request medical examinations and should rarely request
medical evidence from SSA records. Unless a claimant specifically submits medical
evidence in support of an Ottawa/Quebec claim, do not routinely forward medical evidence
to Ottawa or Quebec.
However, if any other foreign agency requests a medical examination, if “pertinent medical evidence” exists in OIO, send copies of that evidence in lieu of obtaining a medical examination.
For the purpose of this instruction, “Pertinent Medical Evidence” is evidence which was obtained by SSA in response to a CDI or DIB claim filed or
adjudicated within a year of the date claim filed shown on the foreign agency request
or within a year of the date for which the foreign agency has specifically requested