NL 00701.198 Form SSA-L679 — Student Not Eligible for Benefits After Age 22

A. Sample form

G-NL_00701.198A

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B. Purpose/Use

The SSA-L679 is used to inform student beneficiaries of the date their benefits will terminate, based on information supply by the student on from SSA-1389.

C. Preparation of form

The name of the beneficiary, claim number and address can be obtained from the source document, SSA-1389, Report of Student Beneficiary About to Attain Age 22. An “X” must be shown in the appropriate box to denote the reason for the action.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900701198
NL 00701.198 - Form SSA-L679 -- Student Not Eligible for Benefits After Age 22 - 06/11/2013
Batch run: 06/11/2013
Rev:06/11/2013