TN 22 (04-11)

DI 22501.008 Exhibit: Case Development Correspondence Samples

Refer to samples for recommended case development correspondence content and format.

Exhibits:

  • NL 00705.720, Adult Initial Case Development Letter – Sample

  • NL 00705.725, Child Initial Case Development Letter – Sample

  • NL 00705.730, Cover Letter - Function Report – Adult (Form SSA-3373-BK) – Sample

  • NL 00705.735, Claimant Call-in Letter – Sample

  • NL 00705.740, Third Party Call-in Letter – Sample

  • NL 00705.745, Model Consultative Examination (CE) Appointment Notice and forms

  • NL 00705.755, Notification to the Claimant of Medical Deferment – Sample

  • NL 00705.770, Model Letter Requesting Medical Evidence of Record (MER)


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0422501008
DI 22501.008 - Exhibit: Case Development Correspondence Samples - 03/06/2012
Batch run: 04/25/2014
Rev:03/06/2012