BASIC (11-81)

NL 00701.114 Form SSA-L412 — Reconsideration — Initial Interim Notice — Additional Evidence is Being Obtained

A. Sample form

G-NL_00701.114A

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B. Purpose/Use

This form notice is used as an initial interim notice when additional evidence is being obtained.

This notice does not require any fill-ins.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900701114
NL 00701.114 - Form SSA-L412 -- Reconsideration -- Initial Interim Notice -- Additional Evidence is Being Obtained - 06/11/2013
Batch run: 06/11/2013
Rev:06/11/2013