The Spanish agencies use the liaison form to:
transmit material to OIO,
send information to OIO, and
request information from OIO.
The liaison form is a three page bilingual form.
Parts 1 and 2 contain information about the worker and claimants. There are no verification
blocks shown in item 2 because all dates have been verified by the Spanish agency.
Part 3 provides information about material that the Spanish agency is transmitting
with the liaison form.
Part 4 lists the information that the Spanish agency is requesting from SSA. This
section includes a Privacy Act Authorization to release information to Spain.
Part 5 provides general information. By checking the applicable block in this section,
the Spanish agency notifies OIO that form USA/E2 has been completed and forwarded
to the FSP, Madrid.