TN 31 (02-97)

NL 00703.771 Representative Payee — Notice to Beneficiary or Person Standing in Place of Beneficiary About Revocation of Fee

Document Identifier for Word Processor: E3771

A. Exhibit Letter

We are writing to let you know that (1) can no longer collect a fee from (2) monthly benefits for serving as (3) representative payee. If they were collecting a fee, they must stop doing so after (4) .

 

If You Have Any Questions

3765C

B. Requesting Instructions

  • The FO will send this notice when the representative payee's authorization to collect a fee has been revoked.

  • Show the title of the officer and the name of the institution or entity. Do not show the name of such officer.

  • Refer to NL 00703.765 for 3765C text and fill-ins.

     

Fill-ins:

  1. name of representative payee

  2. your, name of beneficiary (possessive)

  3. your, his, her

  4. the last month/year in which the organization is permitted to collect a fee from this beneficiary.

C. Typing Instructions

The FO will send this notice. It may be reproduced on FO letterhead.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900703771
NL 00703.771 - Representative Payee -- Notice to Beneficiary or Person Standing in Place of Beneficiary About Revocation of Fee - 05/24/2012
Batch run: 05/24/2012
Rev:05/24/2012