NL 00701.116 Form SSA-L445-U2 — Notice to Spouse in Separate Household

A. Sample form

G-NL_00701.116A

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B. Preparation of form

This form notice notifies a spouse who lives in a separate household from a NH whose disability claim is being denied that no benefits are payable. The form is used when the spouse is listed on the SSA-16-F6 but no SSA-2-F6 is filed.

Refer to the SSA-573 or SSA-559 for the spouses name and address and the NH's name.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900701116
NL 00701.116 - Form SSA-L445-U2 -- Notice to Spouse in Separate Household - 06/11/2013
Batch run: 06/11/2013
Rev:06/11/2013