We are sorry to learn of your recent loss. Please accept our sincere sympathy.
We are writing to let you know that your entitlement to benefits ended as of (1) . We based this on information that (2) died (3) .
We can pay (4) benefits only when you have a child in your care, under age 16 or disabled, who is
entitled to Social Security benefits.
(If there is an overpayment, follow instructions in NL 00703.920 on what paragraphs to include.)
Other Social Security benefits
||You may be able to get (1) benefits at age 60, or at age 50 if you are disabled. The people in the office shown
later in this letter will be glad to help you at that time.
||You may be able to get benefits again when you are age 62. The people in the office
shown later in this letter will be glad to help you at that time.
If you disagree with the decision1
If you have any questions
1 If there is an overpayment, omit this paragraph.