We are writing to tell you that we plan to stop your payments because we learned from the U.S. Department of Homeland Security that (1) has been deported or removed from the United States.

 

We May Be Able To Keep Paying You

When the worker on a Social Security record has been deported or removed, we may pay benefits on (2) record to other members of the family only if:

They are U.S. citizens,

OR

They are not U.S. citizens, but they stay in the United States for a full calendar month or more without leaving for any period, no matter how short.

 

What We Plan To Do

We will stop your payments unless you can prove that you meet one of these requirements, or that (3) has not been not deported or removed. If you wish to give us proof, you must do so within 30 days of the date of this letter.

If we do not hear from you within 30 days, we will stop your payments. We will send you another letter at that time with more information about our action.

 

If You Have Any Questions

3901D - Foreign Referral

• •

  The letter to an auxiliary beneficiary should also explain that payments would be resumed for months the auxiliary beneficiary is a U.S. citizen or is inside the U.S. for an entire month or more (RS 02635.001). Advise the beneficiary that action on the notification is being deferred to afford him/her an opportunity to establish that he/she meets the requirements for continuation of payments or to rebut the DHS report. Allow 30 days, exclusive of 10 day mail delivery time, for a reply.

• •

  Refer to NL 00703.005E. for text and fill-ins.

 

Fill-ins:

1. (1) 

   number holder's name

2. (2) 

   his, her

3. (3) 

   number holder's name

Use Form SSA-L2000-C2 (Universal Notice) and follow notice standards. Information for this notice will be shown on Form SSA-573.