If the determination form contains a TCA, correct the entry(ies), initial, date the
change, and enter an explanatory remark in block 34, Remarks. For a further explanation
of non-substantive changes made to the SSA-831-C3/U3, see DI 40115.005C.
EXAMPLE: Established Onset Date (EOD) is prior to Date First Insured (DFI)
In situations in which the adjudicating component’s EOD is prior to the DFI, but the
time period before EOD was used to determine whether the 12-month duration requirement
was met, correct the SSA-831-C3/U3 as follows:
Block No. 15A or 28, or both
Line-out the incorrect entries.
Enter the correct EOD for entitlement purposes.
Block No. 34 (Remarks)
Enter “Change in Onset - EOD cannot be set prior to DFI. Item 15 is based on DFI,
but the impairment(s) was of disabling severity, for purposes of the duration requirement,
as of [date].”
Identify your specific review component.