DDS should return initial claims to an FO only if:

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  A disability determination has been made, and the case is not part of the Disability Quality Branch’s (DQB) review component sample, or

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  DDS does not need to make a disability determination on the case,

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  The SSA-827 is not in the file, and

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  The FO requests the claim be returned.

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  Receives an F-9 alert (Title XVI file only, SM 05905.204).

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  Receives a direct written request to withdraw the claim (DI 11010.075).

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  Receives notification that the Title II claimant died within five months of Alleged Onset Date (AOD) (DI 11010.075).

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  Recognizes the case is under SSA jurisdiction:

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    Career railroad or RR annuitant (DI 11010.262).

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    Prisoner case when the FO fails to respond to an AR (DI 23501.005).

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    Foreign claim (DI 11010.275).

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    Emergency clause (DI 11055.110 and DI 11010.290).

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    SGA case (DI 10501.001).

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    Changed identity claim (DI 11010.270).

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    Res judicata case (DI 11010.075; DI 27516.001).

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  Discovers a technical or non-medical denial is applicable (DI 11010.040 and DI 13010.105E.). See also DI 81010.140.

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  Receives notice of the SSI claimant’s death; the FO determines disability decision is not needed (DI 11055.050).

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  Receives notice that the Title II claimant died within five months of AOD (DI 11010.075.)

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  Receives a request for withdrawal (DI 11010.075).

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  Discovers the case is under SSA jurisdiction (DI 11010.075).

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  Failure to pursue or whereabouts unknown is an issue (DDS makes a determination), DI 11010.045.

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  The claimant moves to another state (send folder directly to other DDS after notifying the FO). See DI 11010.255.

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  Additional information is needed from the claimant (DDS contacts claimant).

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  An SSI claimant attains age 65 (DDS tells the FO; DDS still makes determination).

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  The case is part of a DQB review component sample.

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  Collateral estoppel potentially applies (DI 11011.001).

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  Learns a claimant has died (DI 11010.630C.; DI 11055.050B.).

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  Receives a withdrawal request from the claimant via telephone (DI 11010.075).

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  Is unable to secure form SSA-3369 from claimant (DI 10005.010).

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  Needs to contact claimant's employer (DI 11010.145).

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  Needs proof of age (DI 11010.640).

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  Learns of a change of address, change of name, or representative payee issue (DI 11010.630 through DI 11010.635).

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  Needs assistance developing medical evidence (DI 11010.645).

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  Needs assistance following up on medical evidence (DI 11010.520).

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  Needs additional information from the claimant but has been unable to obtain it (DI 11010.485).

If DDS receives a systems-generated alert regarding Title II insured status, telephone the FO to verify status before returning the folder.