BASIC (09-02)

GN 01743.210 Developing Evidence in Claims for Australian Benefits

A. Introduction

The following subsections show the types of evidence that may be used to support claims for Australian benefits.

B. Policy — General

Under the agreement with Australia, SSA will take applications for both regular and Totalization benefits on behalf of Australia and provide limited assistance in obtaining evidence needed to support the claim.

C. Policy — Using evidence submitted in claim for U.S. benefits

Evidence that is used to establish a factor of entitlement for U.S. Social Security benefits may also be used by Australia to establish the same factor for Australian benefits. Consequently, it is unnecessary for the applicant to submit additional evidence to document a factor of entitlement for Australian benefits when that factor has already been verified for SSA purposes.

D. Policy — Entitlement factors

The following indicates what factors of entitlement, in addition to residence requirements, must be established in claims for Australian benefits.

1. All Claims

The entitlement factors that must be established for all Australian claims are:

  1. Income and assets of applicant

  2. Identity of applicant

2. Retirement

The additional entitlement factors that must be established for Australian retirement claims are:

  1. Date of birth of applicant

  2. Date of birth of child(ren) under age 16 and relationship, if a supplement or parenting payment is claimed

3. Survivors

The additional entitlement factors that must be established for Australian survivors claims are:

  1. Date of death of individual

  2. Date of birth of child(ren) under age 16 and relationship, if a parenting payment is claimed

  3. Date of marriage, if a bereavement payment/allowance is claimed

4. Disability

The additional entitlement factors that must be established for Australian disability claims are:

  1. Degree of disability

  2. Date of birth of child(ren) under age 16 and relationship, if a supplement is claimed

E. Procedure — General

Take the following actions when developing evidence to support claims for Australian benefits.

1. Accepting Evidence

Accept any evidence the applicant wishes to submit. If the applicant does not want to release an original document, photocopy the evidence and certify the copy.

Caution: Do not hold claims for Australian benefits for prolonged periods pending receipt of evidence. If an applicant is unable to obtain needed evidence within a reasonable time, transmit the claim to the Office of International Operations (OIO) without the evidence. Advise the applicant that the responsible Australian agency will contact him/her directly to obtain any evidence it needs.

2. Types of Evidence

If the applicant requests guidance on the type of evidence to submit, see:

  1. Proof of age in GN 00302.000 ff.

  2. Proof of death in GN 00304.000 ff.

  3. Proof of parent/child relationship in GN 00306.000 ff.

  4. Proof of identity in section A of the special application for Australian benefits (see GN 01743.220).

3. Document the File

Document the file to show when a factor of entitlement for an Australian benefit has already been verified for a U.S. claim.

a. Concurrent Title II/Australian Claim

Send a certified photocopy of the relevant evidence with the Australian claim to OIO if the concurrent Title II claim will be sent to a program service center (PSC) other than OIO.

b. Prior Title II Claim

Include a master beneficiary record (MBR) printout in the claims file sent to OIO to show which factors, other than disability, have been verified in a prior file.

4. Obtain Record of the Number Holder's (NH's) U.S. Coverage

  1. Obtain a record of the NH's U.S. coverage in all claims for Australian benefits. When the applicant is filing for both U.S. and Australian benefits, completion of the modernized claims syst