TN 31 (02-97)
NL 00703.314 Adjustment - Beneficiary in Conditional or Suspense Status Before and After Action (No Payment; Payee Version)
Document Identifier for Word Processor: E3314
A. EXHIBIT LETTER
We are writing to tell you about a change in (1) Social Security benefits. Beginning
(2) , we have refigured your benefits (3) .
You still will not receive regular monthly checks because (4) . If we can send you money in the future, (5) new monthly payment will be $ (6) .
If You Disagree With The Decision
3180A - Domestic
3180B - Foreign
If You Want Help with Your Appeal1
If You Have Any Questions
3901C - Domestic
3901D - Foreign
1 If the beneficiary has an attorney or lives outside the U.S. omit this paragraph.
B. REQUESTING INSTRUCTIONS
full name of beneficiary, possessive case
effective date of change, month/year
use reason A - M or use dictated language
to correct the previous calculation.
to give credit for additional earnings.
to increase the rate because the benefits of another person have been terminated.
to decrease the rate because another person is entitled to benefits.
to increase the rate because a period of disability has been established.
to give credit for months of entitlement before full retirement age (62) for which less than the full benefit was paid.
to give credit for months of entitlement before full retirement age for which benefits were paid based on caring for a child who was entitled to benefits.
to give credit for months your deceased spouse was entitled to, but not paid, full benefits between age 62 and 65.
to give credit for months when you were at least full retirement age and did not receive a retirement benefit because you were working.
because of a special provision of the law. This special provision increases benefits for people who have worked under Social Security for many years at relatively low earnings.
to give credit for additional earnings and also to give credit for months after 1970 when you were at least full retirement age and did not receive a retirement benefit because you were working.
to decrease the benefits based on your amended annual report of earnings which shows you worked in fewer months after full retirement age than you had originally reported.
to give credit for months your deceased spouse was at least 65 and did not receive a retirement benefit because of work.
give reason for non-payment, for example “of her earnings”
current monthly payment amount
Refer to NL 00703.005E. for 3901C and 3901D text and fill-ins. Refer to NL 00703.180 for 3180A and 3180B text. Refer to NL 00703.100 for 3100E text.
C. TYPING INSTRUCTIONS
Use Form SSA-2000-C2 (Universal Notice) and follow new notice standards. Information for this letter will be shown on SSA-573.