DI 13015.095 Exhibit -- CDR Due Process Letter
Exhibit - Due Process Notice -- CDR Cessation for Whereabouts Unknown
We are writing to you about your Social Security disability payments. We've been carefully
reviewing the facts in your case. You now have a chance to give us more information
about your case.
If you disagree with our plans explained below, you should contact us within 10 days
and ask us to look at your case again. If you have any new information or concerns,
you may call, write, or visit the Social Security office nearest you. The telephone
number and address are shown at the (1) this letter.
What We Plan To Do
Based on the facts in your file, we plan to stop your disability payments in (2) . This is because (3) . Before we do this, we're giving you a chance to give us more information about your
case. We will look at any new information you give us before we decide whether to
stop your payments.
What You Should Do
Let us know right away if you have more information about
If You Have Any Questions
(1) a. end (If sent from PC/DDS)
b. top (If sent from FO)
(2) month/year of suspension, in format; July 1993
(3) a. our records show that you are working
b. we cannot locate you at the last address that we have
c. we have not received the information we requested from you
d. we received information that your health has improved and you are able to
(4) a. your work and earnings
b. your current address
c. your health
d. [Dictated language for other information we requested from the beneficiary
(e.g., the reason you did not complete the form, the reason you did not furnish
the information we requested).]
(5) a. Use option a. if sent from PC/DDS
If you have any questions, you may call us toll-free at 1-800-772-1213, or call your
local Social Security office at (fill- in from TRIDE). We can answer most questions
over the phone. You can also write or visit any Social Security office. The office
that serves your area is located at:
If you do call or visit an office, please have this letter with you. It will help
us answer your questions. Also, if you plan to visit an office, you may call ahead
to make an appointment. This will help us serve you more quickly.
b. Use option b. if sent from FO.
If you have any questions, you should call, write or visit any Social Security office.
If you call or visit our office, please have this letter with you and ask for (name
of claims representative). The telephone number is shown above.