TN 13 (12-10)

GN 04440.239 Correcting Cases with Other Missing or Incorrect Forms

A. Policy for cases with other missing or incorrect forms

A missing or incorrect form technical corrective action exists when the existing POMS requires any of the following forms (or other, similar case development forms), but the form is not in file or is incorrect.

  • SSA-454-BK (Continuing Disability Review Report)

  • SSA-538 (Childhood Disability Evaluation Form)

  • SSA-3368-BK (Disability Report – Adult)

  • SSA-3369-BK (Work History Report)

  • SSA-3371-BK (Pain Report - Child)

  • SSA-3375-BK (Function Report - Child)

  • SSA-3441-BK (Disability Report - Appeal)

  • SSA-3820-BK (Disability Report – Child)

For an explanation of adjudicating component corrective action procedures, see DI 30005.237.

B. Procedure for correcting cases with other missing or incorrect forms

1. Initial and reconsideration denial claims and continuing disability reviews (CDR)

If a mandatory form is missing from the file, or is incorrect, and the case is an initial or reconsideration denial or a CDR case:

  • Return the case to the adjudicating component by an informational SSA-847-U3 (SSA Request for Case Action);

  • Annotate the SSA-847-U3 to indicate that you are not charging a deficiency;

  • Instruct the adjudicating component to obtain the missing or correct form; and

  • Ask them to forward the corrected case to the appropriate component for timely processing.

2. Initial and reconsideration allowance claims

If a mandatory form is missing from the file, or is incorrect, and the case is an initial or reconsideration allowance claim:

  • Send an informational SSA-847-U3 to the adjudicating component without the folder;

  • Annotate the SSA-847-U3 to indicate that you are not charging a deficiency;

  • Instruct the adjudicating component to secure the missing or correct form and to handle it as trailer material to associate with the folder; and

  • Release the case to the appropriate component to effectuate the determination.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0204440239
GN 04440.239 - Correcting Cases with Other Missing or Incorrect Forms - 12/23/2010
Batch run: 12/23/2010
Rev:12/23/2010