BASIC (09-02)

GN 01744.105 Australian Coverage Certification

A. Policy - Form AUS/USA 2 (Working Life Residence Certificate)

Form AUS/USA 2 (Working Life Residence Certificate) is the only acceptable form for the certification of Australian coverage. Certifications in any other format should be forwarded to the Center for Program Support-International (CPS-I) for a determination as to their acceptability.

B. Description - Form AUS/USA 2 (Working Life Residence Certificate)

1. Periods of Australian Coverage-Item 3

Periods of Australian coverage are certified in item 3.

2. Columns 1 and 2

The first two columns contain periods of Australian working life residence shown in the American style; i.e., month/year.

3. Third Column

The third column contain the number of years and months of coverage with each coverage period. The bottom blocks in this section indicates the total coverage for all periods.

4. ITEM 4

The signature of the Australian technician who completed the form, the date, and the official stamp of Centrelink are entered in Item 4.

C. Exhibit – Form AUS/USA 2

Graphic Unavailable: ID G-AUS-USA-2


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0201744105
GN 01744.105 - Australian Coverage Certification - 05/02/2014
Batch run: 05/02/2014
Rev:05/02/2014