An applicant for Slovenian benefits must complete one or more special Slovenian application forms, in addition to Form SSA-2490-BK (Application for Benefits under a U.S. International Agreement). The form(s) will vary depending on the type of benefit.

The Social Security Administration (SSA) field offices (FO) will accept applications for Slovenian benefits with or without the special Slovenian application forms. After receiving a claim for Slovenian benefits filed with SSA, the Slovenian agency will mail the appropriate Slovenian forms to the applicant, if necessary. The Slovenian agency will include instructions for the applicant to complete the forms and mail directly to the Slovenian agency along with any additional required evidence.

If an applicant wishes to file for Slovenian benefits and brings the special forms for Slovenian benefits to the FO, take the following actions:

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  accept, photocopy, and certify the application.

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  photocopy and certify any additional documents (evidence) the Slovenian agency requested that the applicant included with the Slovenian claim.

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  request an “Informational/Certified Earnings Record” (ICERS) as described in MS ICERS 2101.004.

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  send the Slovenian application and any additional claims material to the Office of Earnings and International Operations (OEIO) in Baltimore at the following address:

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  complete the Modernized Development Worksheet (MDW) screen to show the date the FO sent the Slovenian claim to OEIO. Show “Totalization” as the ISSUE.

Once OEIO receives the claim, they will send the claim directly to the Slovenian agency along with the evidence and the worker’s U.S. coverage record. OEIO will annotate the MDW to show the type of claim and the date they forwarded the claim to the Slovenian agency.

MS 02101.004 Informational/Certified Earnings Records - Totalization (ICIC)

GN 01770.215 Applications for Benefits under the Agreement with Slovenia