An individual filing for Czech benefits only, completes the Czech application form
(CZ/USA 202, Claim for a Pension from the Czech Republic). He or she does not complete
When an applicant files for fully insured (nontotalization) U.S. benefits and Czech
Republic benefits (fully insured or Totalization), do not complete the Form SSA-2490-BK.
The Modernized Claims System (MCS) does not allow clearance of the claim for U.S.
benefits until the CR enters the path for the SSA-2490. To clear the U.S. claim, the
CR completes only the first (FINF) screen in the SSA-2490 path. This action releases
the claim for U.S. benefits for award or denial. The CR completes the claim for Czech
benefits using the Czech application form.