BASIC (05-11)

NL 00720.100 COA Change of Address

COA – Change of Address

COA002 BENEFITS RESUMED REQUESTED FORM HAS BEEN RETURNED (R01)

(Requested)

Caption: Your Benefits

We told you in an earlier letter that we would stop your payments. Now that we have the information we needed, we can start paying you again. We will pay you  (1)  beginning  (2) 

Fill-in values:

Fill-in (1) - Systems Generated

Money Amount

Fill-in (2) - Systems Generated

Date


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900720100
NL 00720.100 - COA Change of Address - 05/20/2011
Batch run: 05/20/2011
Rev:05/20/2011