We told you in another letter that (1) lawyer could charge you no more than $ (2) , under the fee agreement, for his or her work on your Social Security claim. We
also explained your right to review the amount of the fee.
What We Are Paying Your Lawyer
Because no one asked us to review the amount of the fee, we are paying (3) lawyer
$ (4) . This means we are paying the lawyer in full for the work on your Social Security
We will let you know later how much we must withhold from your benefits for (5) because of the Supplemental Security Income you received.
If You Have Any Questions