Follow the procedures below to prepare an initial claims package, to request a Dutch
coverage record and to send information to a Dutch agency.
Prepare a claims package for a U.S. Claim if:
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a Dutch coverage record is required and has not been requested by the FSP, and
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•
include form SSA-2960-NL in the package.
2. U.S. and Dutch or Dutch Claim Only
Prepare a claims package for U.S. and Dutch or Dutch Claim only if:
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•
Dutch coverage record is required and has not been requested by the FSP; or
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•
A Dutch agency has requested information or documentation, and
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•
include Form SSA-2960-NL, and
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•
information or documentation requested by Dutch agency.