NL 00701.001 Usage Chart for RSDI Authorization and General Use Form Notices

A. Initial and conversion entitlement awards

Situation/HeadingForm NoticesPOMS Section
Social Security Award CertificateSSA-L30C1NL 00701.018

B. Relationship/Dependency

Situation/HeadingForm NoticesPOMS Section
Determination of One-Half Support (at time N/H's disability began)—ApprovalSSA-L50NL 00701.021
Determination of One-Half Support (at time N/H's disability began)—DisapprovalSSA-L51NL 00701.024
Disapproval—Parent Claimant Does Not Meet Support Requirement at time of N /H's deathSSA-L227NL 00701.045
Disapproval—Not a Spouse Under the ActSSA-L225NL 00701.039
Disapproval—Not a Spouse Under the ActSSA-L825NL 00701.351

C. RIB disapproval

Situation/HeadingForm NoticePOMS Section
RIB Disapproval—Lack of Insured StatusSSA-L1221NL 00701.615
RIB Disapproval—Lack of Insured Status—Date of Birth Not EstablishedSSA-L1222NL 00701.620
RIB Disapproval—Not Retirement AgeSSA-L1223NL 00701.625
RIB Disapproval—Not Yet Retirement AgeSSA-L1224NL 00701.630
Denial—Date of Birth Not EstablishedSSA-L245NL 00701.087

D. Miscellaneous disapprovals

Situation/UsageForm NoticePOMS Section
Auxiliary Disapproved—N/H Not EntitledSSA-L223NL 00701.036
Auxiliary Disapproved—NH Not Entitled (Disability Cases)SSA-L823NL 00701.348
Disapproval—Miscellaneous Fill-In LetterSSA-L829NL 00701.048
Disapproval—Miscellaneous Fill-In Letter (Disability Cases)SSA-L829NL 00701.360
Auxiliary Disapproval—N/H Not InsuredSSA-L231NL 00701.051
Disallowance of Recomputation (Recalculation)—No Change In Benefit RateSSA-L233NL 00701.050

E. Lump sum death payment

Situation/HeadingForm NoticePOMS Section
Lump Sum Allowance—Widow/Widower Potential EntitlementSSA-L187NL 00701.030
Lump Sum ApprovalSSA-1064-C1NL 00701.600
Lump Sum—Claimant Authorized Payment to Funeral HomeSSA-L1063NL 00701.595
Lump Sum Claimant Equitably Entitled to PaymentSSA-L1062NL 00701.590
Lump Sum Disapproved—Applicant Not EligibleSSA-L232NL 00701.054
Non-Payment of Lump Sum to Funeral HomeSSA-L977NL 00701.396

F. Representative payee

Situation/UsageForm NoticePOMS Section
Notice to Legally Competent Adult Beneficiary about Selection of Representative PayeeSSA-L568NL 00701.159
Notice to Legally Competent Adult Beneficiary about Selection of Representative PayeeSSA-L569NL 00701.162
Request for Final Accounting from Former PayeeSSA-L1061NL 00701.585
Notice to Former Payee—Request for Final AccountingSSA-L1060NL 00701.580
Notice to Successor Payee—Conserved Funds Transferred to Third PartySSA-L698NL 00701.201
Notice to Successor Payee—Conserved Funds Directly Transferred by Former PayeeSSA-L699NL 00701.204
Request to Former Payee to Return Conserved FundsSSA-L830CNL 00701.363
Notice to Beneficiary of Conserved FundsSSA-L2300NL 00701.650

G. Miscellaneous form notices

Situation/UsageForm NoticePOMS Section
Approval of WithdrawalSSA-L250NL 00701.093
Approval of Withdrawal (Disability)SSA-L850NL 00701.387
Student Not Eligible for Benefits After Age 22SSA-L679NL 00701.198
Student Not Eligible for Benefits After Age 19SSAL680NL 00701.199
Change of Address—Foreign to DomesticSSA-L593NL 00701.180
Common Back NL 00701.995
Enclosure: Important Notice—How Work Affects Your BenefitsSSA-9692NL 00701.950

To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900701001
NL 00701.001 - Usage Chart for RSDI Authorization and General Use Form Notices - 06/20/2017
Batch run: 06/20/2017
Rev:06/20/2017