||We are writing to tell you that we have information that shows you need help managing
your money and meeting your needs. Because of this information, we plan to send your
Supplemental Security Income (SSI) payments to (1) . We call this (2) your representative payee.
||We are writing to tell you that we will select (1) as your new representative payee.
We have information that shows you still need help managing your money and meeting
Your Representative Payee's Duties
It is your representative payee's duty to manage your SSI money. The representative
payee must report changes that can affect your payments and act in your best interest.
We will ask your representative payee to show us how the money was used for you.
If You Disagree With This Decision
If you think you should get your own payments or that someone else should help you
manage your payments, you have the right to appeal. We will review your case and consider
any new facts you have. Then, a person who didn't make the first decision will decide
You have 60 days to ask for an appeal. However, unless we hear from you within 10
days, we will select the representative payee named above.
The 10 days and 60 days start the day after you receive this letter. We assume you
got this letter 5 days after the date on it unless you show us that you did not get
it within the 5-day period.
You must have a good reason for waiting more than 60 days to ask for an appeal.
You have to ask for an appeal in writing. We will ask you to fill out Form SSA-561-U2,
called “Request for Reconsideration.” To get this form, contact one of our offices. We can help you fill out the form.
How To Appeal
If You Want Help With Your Appeal
If You Have Any Questions
||If you have any questions, you should call, write or visit any Social Security office.
If you call or visit our office, please have this letter with you and ask for (1) . The telephone number is (2) .