DI 24510.062 Completion of Heading of SSA-4734-F4-SUP

A. Operating Policy

The heading must be completed.

B. Operating Procedure

  • Obtain this information from the PRTF and the claim folder.

  • Insert the individual's name, Social Security Number, categories from section IC of the Psychiatric Review Technique Form (PRTF), and the appropriate period for which the assessment is being made.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0424510062
DI 24510.062 - Completion of Heading of SSA-4734-F4-SUP - 11/14/2000
Batch run: 01/27/2009
Rev:11/14/2000