Prepare initial claims packages to request Japanese coverage records and to inform
the Japanese agency about claims for Japanese benefits. (See GN 01745.205 – GN 01745.220 for the applications and evidence required to prepare the packages.)
Prepare form SSA-e2960-J and forward it to the appropriate Japanese agency with a
copy of form J/USA 4 to request the Japanese coverage record if the Japanese record
is not in the claims file.
Prepare a claims package that includes:
Form SSA-e2960-J to certify the filing date for Japanese benefits, established factors
of entitlement, and U.S. benefit information
The special Japanese application form (either J/USA 1 or J/USA 2)
A U.S. totalization earnings record
Medical evidence from SSA's files, if the Japanese claim is for disability benefits.
NOTE: SSA files include claims folders in DIO, in the caves in Kansas City.
Evidence submitted for the Japanese claim, and
A request for the Japanese coverage record, including form J/USA 4, if one is needed
GN 01745.205 – GN 01745.220, Applications and Evidence for Japanese Agreement