TN 30 (03-02)

DI 39506.270 Ordering Financial Management Forms

Procedure

The Office of Disability (OD), Division of Field Disability Operations (DFDO), Resource Management Branch (RMB) will release the electronic financial management forms via email to the regional offices. The State DDS's can obtain the electronic forms from their regional office. The forms will also be available electronically via the OD, DFDO, RMB Intranet website.

The financial management forms include:

  • SSA-872, State Agency Obligational Authorization for SSA Disability Programs

  • SSA-4513, State Agency Report of Obligations for SSA Disability Programs

  • SSA-4513 Addendum, State Agency Report of Obligations for SSA Disability Programs

  • SSA-4514, Time Report of Personnel Services for Disability Determination Services

  • SSA-871, State Agency Schedule of Equipment Purchased for SSA Disability Programs


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0439506270
DI 39506.270 - Ordering Financial Management Forms - 04/01/2013
Batch run: 04/01/2013
Rev:04/01/2013