When a closed period or unfavorable onset date allowance is affirmed, the DDS prepares
and releases a modified notice on preprinted form SSA-L928 with a personalized explanation.
The DDS must delete the phrase “denying your claim” from the third sentence of the
first paragraph. Include paragraph 842 (Title XVI disclaimer) on concurrent Title
II/Title XVI claims when the SSA-L928 is not preprinted.
DI 31515.240 – Form SSA –L928 - Reconsideration – Affirmation of DIB, DWB, or CDB Denial,
NL 00708.100 - Numbered Paragraphs
DI 27025.015 Closed Period and Unfavorable Onset Date Allowances Explanation.