TN 4 (08-12)

NL 00720.240 ONS Disability Onset

ONS002 LATER ONSET ESTABLISHED EARNINGS REQUIREMENTS (J03)

(Requested)

Caption: The Date You Became Disabled

 (1)  may have been disabled before this date  (2) . However,  (3)  did not meet the disability earnings requirement until  (4) . We explain this requirement in the enclosed pamphlet, called "How You Earn Credits."

Fill-in values:

Fill-in (1) - Systems Generated

Choice 1: Beneficiary's Name

Choice 2: She

Choice 3: He

Choice 4: You

Fill-in (2) - Systems Generated

Choice 1: onset date (MM/DD/CCYY)

Fill-in (3) - Systems Generated

Choice 1: she

Choice 2: he

Choice 3: you

Fill-in (4) - Systems Generated

Choice 1: onset date (MM/DD/CCYY)

ONS003 ONSET DATE

(Generated)

Caption: The Date You Became Disabled

We found that  (1)  became disabled under our rules on  (2) .

Fill-in values:

Fill-in (1) - Systems Generated

Choice 1: you

Choice 2: Beneficiary's Name

Fill-in (2) - Systems Generated

Choice 1: onset date (MM/DD/CCYY)

ONS004 ONSET DIFFERENT FROM ALLEGED (J02)

(Requested)

Caption: The Date You Became Disabled

The date that we found  (1)  disabled is different from the date you gave us on the application.

Also,  (2)  to be disabled for 5 full calendar months in a row before  (3)  can be entitled to benefits. For these reasons,  (4)  first month of entitlement to benefits is  (5) .

Fill-in values:

Fill-in (1) - Systems Generated

Choice 1: Beneficiary's Name

Choice 2: you

Fill-in (2) - Systems Generated

Choice 1: she has

Choice 2: he has

Choice 3: you have

Fill-in (3) - Systems Generated

Choice 1: she

Choice 2: he

Choice 3: you

Fill-in (4) - Systems Generated

Choice 1: her

Choice 2: his

Choice 3: your

Fill-in (5) - Systems Generated

Choice 1: DOE-START (MM/CCYY


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