GN 01740.235 Facts About the Chilean Liaison Form CHI/USA 3
The Chilean agencies use Form CHI/USA 3 to:
Transmit material to DIO or to the FSP in Buenos Aires, Argentina
Send information to DIO or to the FSP, and
Request information from DIO.
B. Description of form CHI/USA 3
The Form CHI/USA 3 has the same format and entries as the SSA-2960-CHI. Following are the two main differences:
The address blocks in the “TO” and “FROM” sections are reversed, and
The item for status of the U.S. claim is not shown.
If a Chilean liaison agency requests information, make sure that the requirements of the Privacy Act are met. Return any request (without the requested information) unless:
The request indicates that the information is needed to process a claim under the agreement,
The agency has provided the claimant's written consent for SSA to disclose information, or
The file contains a Form SSA-2490-BK that is signed by the claimant.