TN 11 (06-04)
The speed with which a disability determination will be made may depend on the completeness
and accuracy of these forms. Review the forms for completeness, particularly for medical
sources' names and addresses.
See DI 11005.020 - DI 11005.040 for completion of disability interview forms.
CAUTION: Do not use the words terminal or terminal illness in these forms or elsewhere in the claims file.