TN 1 (12-18)
Use an SSA-5526-U3, Request for Assistance – Disability. ODO may use this form to provide information
for the FO.
The FO will use an SSA-847-U3, SSA Request for Case Action, to send the case to DDS. The Processing Center (PC)
does not route cases directly to DDS.
Check block 01 medical re-exam diary (MRED) on the SA-5526-U3; forward the folder to the FO. If an individual has work activity
in a MIE case, see DI 40505.100, Medical Improvement Expected (MIE) Cases with Work Activity.
Check block 03 PERIODIC REVIEW (PR) on the SSA-5526-U3; forward the folder to the FO.
Check block 09 PR on the SSA-847-U3; forward the folder to the DDS.