TN 8 (04-04)
DI 30005.411 Routing Determination Forms - DDS Procedure
If you prepare a new determination form SSA-831-C3/U3, SSA-832-C3/U3, SSA-833-C3/U3 or Form SSA-4268-U4/C4 (Explanation of Determination):
Retain the "State Agency/Data Copy" of the form.
Do not remove the original SSA-831-C3/U3, SSA-832-C3/U3, SSA-833-C3/U3 or SSA-4268-U4/C4 from the folder.
Enter in item 34 of the original disability determination form "Do Not Process." In addition, place a large "X" across the form.
Place a large "X" across the original SSA-4268-U4/C4 when a new SSA-4268-U4/C4 is prepared and staple the original SSA-4268-U4/C4 to the original disability determination form.
Prong file the original SSA-831-C3/U3, SSA-832-C3/U3 or SSA-833-C3/U3 and SSA-4268-U4/C4 in the front yellow section of the modular disability folder (or on the right side of the brown folder).
See DI 26510.000 for assistance with determination form completion.