TN 30 (03-96)
NL 00703.929 Benefits to Child Terminate — Age 18/19 — Domestic or Foreign
Document Identifier for Word Processor: E3929
A. Exhibit letter
We are writing to let you know that (1) entitlement to benefits ended as of (2) . We based this on information that (3) became (4) in (5) .
We can pay benefits to (6) only if (7) age 18 and a full-time student in an elementary of secondary school or disabled.
(If there is an overpayment, follow instructions in NL 00703.920 on what paragraphs to include.)
| ||Your Responsibilities |
|3929A||When benefits are terminated during the year, you must file an annual report if you earn over $ (1) . In this report include your earnings for the entire year both before and after your benefits were terminated.|
If you disagree with the decision1
If you want help with your appeal2
If you have any questions
3901C - Domestic
3901D - Foreign
1 If there is an overpayment, omit this paragraph.
2 If the person lives outside the U.S. or has an attorney, omit this paragraph.
B. Requesting instructions
Send when a child's benefits terminate at age 18 or 19. This letter can be sent to a parent payee, representative payee, or the child being terminated. Do not use when child terminates when "deemed" to be age 19 per RS 00205.325B.
Use paragraph 3929A in domestic cases
See NL 00703.005E. for 3901C and 3901D text and fill-in. Use ALS020 in domestic cases and foreign cases. Refer to NL 00703.180 for ALS020 text. Refer to NL 00703.100 for 3100E text.
your or full name of beneficiary, possessive
last month/year of entitlement e.g., May 1993
“Age 18” or “Age 19”
month/year, e.g., June 1993
you, first name of beneficiary
“you are” or “he is” or “she is”
exempt amount for year of termination
C. Typing instructions
Use Form SSA-L2000-C2 (Universal Notice) and follow the notice standards. Information for this notice will be shown on Form SSA-573.