Effective Dates: 03/21/2017 - Present Previous | Next

Basic (10-93)

GN 01724.006 Controlling Requests for Medical Report Forms

A. Introduction

When claimants are requested to complete Medical Reports Forms, diary controls are established for return of the information.

B. Procedure

Follow this procedure when controlling requests for medical report forms.

1. Initial

Place a copy of the letter to the claimant in the totalization electronic folder and diary for 60 days.

2. First Follow-up Action

Did you receive a response after 60 days?

  • •

    If yes, prepare a claim package for France which includes the Medical Report Form.

  • •

    If no, send a second letter, Medical Report Form and preaddressed return envelope. Diary for an additional 30 days.

3. Second Follow-up Action

Did you receive a response after the additional 30 day diary?

  • •

    If yes, prepare a claim package for France which includes the Medical Report Form.

  • •

    If no, prepare a claims package for France which does not include the Medical Report Form. Explain on Form SSA-e2960-U3-FR (USA/France Liaison Form) that the Medical Report was requested twice but not returned.

To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0201724006
GN 01724.006 - Controlling Requests for Medical Report Forms - 03/21/2017
Batch run: 03/21/2017
Rev:03/21/2017