TN 30 (03-96)
NL 00703.909 Disallowance — Date of Birth Not Established
Document Identifier for Word Processor: E3909
A. Exhibit letter
We have considered your application for (1) benefits (2) . You are not entitled to benefits now because you have not proved your age.
Why we can not pay you
You can not get benefits because you have not proved that you are age (3) . Please let us know if we can help you prove your age.
Other Social Security benefits
If you disagree with the decision
If you want help with your appeal1
If you have any questions
3901C - Domestic
3901D - Foreign
1 If the person lives outside the U.S. or has an attorney, omit this paragraph.
B. Requesting instructions
Send in notice when a claimant is denied because he/she has not established his/her age for entitlement.
Use 3901E, ALS020 and 3900A in all cases. Refer to NL 00703.901 for 3901E text. Refer to NL 00703.900 for ALS020 and 3900A text and NL 00703.100 for 3100E text.
Refer to NL 00703.005E for 3901D text and fill-ins.
type of claim (e.g., retirement, wife's, widow's, widower's, etc.)
if number holder Null; on (name of number holder)'s Social Security record,
age (e.g., “60,” or “62”)
C. Typing instructions
Use Form SSA-L2000-C2 (Universal Notice). Refer to Form SSA-3428-U2, Determination of Disallowance Coding Sheet, “Name and Address Information” field in block 2 for completing the name and address. Because the fill-ins may vary according to the different situations, follow the requester's typing instructions carefully.