We are writing to tell you that we have not received the form, Report to United States
Social Security Administration, which we sent you to complete. We need the information
on the form to decide if you should still receive checks.
How You Can Give Us This Information
If you still have the form we sent you, please answer the questions on it and mail
it back to us. Let us know if you need any help in answering the questions. Once we
have the form, we will let you know if you can still receive benefits.
What We Plan To Do
Also, please let us know right away if you did not receive the form or if you lost
If we do not hear from you within 15 days of the date of this letter, we will stop
your checks. This is because we do not have the information we need to show that you
can still receive checks.
If You Have Any Questions
3901D - Foreign