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: 03/29/2017
Rev:05/20/2011