NL 00701.116 Form SSA-L445-U2 — Notice to Spouse in Separate Household
A. Sample form
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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.