When a U.S. claim is filed with a Luxembourg agency, the agency forwards Form LUX/USA
3 certifying the date of filing. In addition, the appropriate block in Item I.D. should
be checked to indicate that a U.S. claim has been filed.
When a Luxembourg agency certifies factors of entitlement as "verified" in Part II
of the form LUX/USA 3, the certification may be accepted as proof of the eligibility
factor. Further development is not required unless there is a material discrepancy.
Use this instruction for processing form LUX/USA 3 if:
the block is checked in item I.D to indicate the claimant is filing a U.S. claim,
a statement of intent to file a U.S. claim is attached.
Provide information and/or material that the Luxembourg agency requested on the form
Determine if the claimant is eligible for U.S. benefits.
If yes, route all material to CDB to develop a claim.
If no, go to step 3.
If the claimant is not eligible or is already entitled to U.S. benefits, send an informal
Use this instruction for developing claims filed with a Luxembourg agency.
obtain the appropriate RSDI application,
obtain evidence to establish factors of entitlement that were not established by the
adjudicate the RSDI applications, and
forward the claim to Mods 1-5.
not insured and has at least 6 QCs
obtain the appropriate RSDI application and form SSA-2490-F4,
obtain evidence to establish factors of entitlement not established by the Luxembourg
agency, adjudicate RSDI application, and forward the claim to Mod 6 or 7.