BASIC (11-81)

NL 00701.390 Form SSA-L917 — Reconsideration — DIB Earnings Requirement Not Met

A. Sample form

G-NL_00701.390A

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B. Purpose/Use

This is a reconsideration notice that is used to advise a beneficiary that they are not entitled to disability insurance benefits because they do not meet the earnings requirement.

This notice does not require any fill-ins.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900701390
NL 00701.390 - Form SSA-L917 -- Reconsideration -- DIB Earnings Requirement Not Met - 06/18/2013
Batch run: 06/18/2013
Rev:06/18/2013