TN 1 (03-97)
Initial claims packages are prepared to request Belgian coverage records and to send
information to the Belgian agency.
Follow these steps to prepare a claims package.
Prepare a claims package if a Belgian coverage record is required and has not been
requested by the FSP in Brussels.
Include Form SSA-e2960-U2-BE in the package.
U.S. and Belgian or Belgian claim only
Prepare a claims package if:
the Belgian coverage record is required and has not been requested by the FSP; or
the Belgian agency has requested information or documentation.
Include the following in the claims package:
Form SSA-e2960-U2-BE; and
information or documentation requested by the Belgian agency.