BASIC (01-09)

DI 23501.025 Prisoner Notice Finder Chart

A. Chart

For complete notice instructions see DI 26535.000 – Notice Instructions. Use the chart below to determine the appropriate prisoner model letter or rider.

         

Alleged Impairment

Disability Insurance Benefit (DIB) Case

Disabled Widow(er) Benefit (DWB) Case or Childhood Disability Benefit (CDB) Case

Felony-related impairment only

Prisoner model letter “S”

Prisoner model letter “S”

Felony-related and non-felony-related impairments

Appropriate denial letter and prisoner model rider “W”

Appropriate denial letter and prisoner model rider “W”

Confinement-related impairment only

Prisoner model letter “U”

Prisoner model letter “V”

(Fill in “disabled widow(er) benefits” or “childhood disability benefits”)

Confinement-related and non-confinement-related impairments

Prisoner model letter “U”

Appropriate denial letter and prisoner model rider “X”

B. References

  • NL 00705.520 - Prisoner Model Letter “S” – Felony Related Impairment – DIB, DWB, CDB

  • NL 00705.530 - Prisoner Model Letter “U” – Incarceration Related Impairment – DIB Freeze Established

  • NL 00705.535 - Prisoner Model Letter “V” – Incarceration Related Impairment – CDB, DWB

  • NL 00705.540 - Prisoner Model Letter “W” – Felony and Non-Felony Related Impairments – DIB, CDB, DWB

  • NL 00705.545 - Prisoner Model Rider “X” – Incarceration and Non-Incarceration Related Impairment – CDB, DWB

NOTE: A personalized disability notice (PDN) is needed with Model Letters S, U, and V.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0423501025
DI 23501.025 - Prisoner Notice Finder Chart - 01/14/2009
Batch run: 01/27/2009
Rev:01/14/2009