NL 00701.425 Form SSA-L1013 — DIB Continuance — Title II
See DI 13095.155.
Preparation of form
Refer to Form SSA-833-U5 for completing the name, address and claim number. This notice
will be designated in the LTR/PAR NO. block of Form SSA-833-U5. The notice will be
shown followed by the block number(s) to be checked; the appropriate fill-in for the
block, enclosed in parentheses. (e.g., L1013-1 (8 /82), 2(6)). Any additional paragraphs,
if applicable, will also be shown.