TN 31 (02-97)
Document Identifier for Word Processor: E3807
DPS Identifier: SSA-L4031
We are enclosing a copy of a letter we are sending to (1) .
If You Have Any Questions
3901C - Domestic
3901D - Foreign
Copy of notice to beneficiary
The PC will attach this letter to a copy of a beneficiary's notice being sent to an
appointed representative or other authorized party.
(1) name of beneficiary
Use Form SSA-L2000-C2 (Universal Notice) or SSA-L951 and follow the notice standards.
Information for this notice will be shown on Form SSA-573. Use FO letterhead if notice
is being sent by FO.