TN 16 (12-20)
FIELD OFFICE REFERRAL DOMESTIC (G20)
(System Generated)
Caption: If You Have Any Questions
We invite you to visit our website at www.socialsecurity.gov on the Internet to find general information about Social Security. However, if you
have any specific (1) questions, you can call us at 1-800-772-1213. We can answer most questions over the
phone. If you are deaf or hard of hearing, you may call our TTY number, 1-800-325-0778.
You can also write or visit any Social Security office. The office that serves your
area is located at:
(2)
(3)
(4)
(5)
If you do call or visit an office, please have this letter with you. It will help
us answer your questions.
Fill-in values:
No Fill-in needed
Office address line 1
Office address line 1
Office address line 2
Office address line 3
DOMESTIC REFERRAL PARAGRAPH (G28)
(System Generated)
Caption: If You Have Any Questions
We invite you to visit our website at www.socialsecurity.gov on the Internet to find general information about Social Security.
If you have any specific questions, you may call us toll-free at 1-800-772-1213, or
call your local Social Security office at (1) . We can answer most questions over the phone. If you are deaf or hard of hearing,
you may call our TTY number, 1-800-325-0778. You can also write or visit any Social
Security office. The office that serves your area is located at:
(2)
(3)
(4)
(5)
If you do call or visit an office, please have this letter with you. It will help
us answer your questions. Also, if you plan to visit an office, you may call ahead
to make an appointment. This will help us serve you more quickly when you arrive at
the office.
Fill-in values:
FO Phone Number
Fill-ins
Choice 1: FO street address
Choice 2: city, state and zip code
FO Address
FO Address
FO Address
REFERRAL DOMESTIC DEFAULT (G21)
(System Generated)
Caption: If You Have Any Questions
We invite you to visit our website at www.socialsecurity.gov on the Internet to find
general information about Social Security.
If you have any specific (1) questions, call us toll-free at 1-800-772-1213. We can answer most questions over
the phone. If you prefer to visit one of our offices, please check the local telephone
directory for the office nearest you. Or call us and we can give you the office address.
Please have this letter with you if you call or visit an office. It will help us answer
your questions.
Fill-in value:
no Fill-in needed
RRB DOMESTIC REFERRAL PARAGRAPH NO LOCAL OFFICE TELEPHONE NUMBER (G32)
(System Generated)
Caption: If You Have Any Questions
We invite you to visit our website at (1) on the Internet to find general information about Social Security. However, if you
have any specific (2) questions, you can call us at 1-800-772-1213. We can answer most questions over the
phone. If you are deaf or hard of hearing, you may call our TTY number, 1-800-325-0778.
You can also write or visit any Social Security office. The office that serves your
area is located at:
(3)
If you do call or visit an office, please have this letter with you. It will help
us answer your questions.
If you have any questions about railroad annuities or about your monthly check, please
contact your local Railroad District Office by calling 1-877-772-5772 or you may write
to the RRB. The address is U.S. Railroad Retirement Board, 844 Rush Street, Chicago,
IL. 60611-2092.
Fill-in values:
Fill-in
www.socialsecurity.gov
Fill-in
Street Address, City, State and Zip Code from
DOORS
(GA7) BOND UTI
(System Generated)
Caption: If You Have Questions About The BOND Project
Please visit our website at (1) for general information about the Benefit Offset National Demonstration (BOND) project.
If you have any questions about the BOND project, you may call our partner Abt Associates.
Their toll-free number is 1-877-726-6309 (877-7BOND09). They will help you by phone
or they will set up an appointment with the Abt local office that serves your area.
If you have a hearing or speech impairment, you may call their TTY number, 1-877-726-6390
(877-7BOND90). When you call, please have this letter with you. It will help the counselors
at Abt answer your questions.
RRB FOREIGN REFERRAL PARAGRAPH (G38)
(System Generated)
Caption: If You Have Any Questions
We invite you to visit our website at www.socialsecurity.gov on the Internet to find general information about Social Security. If you have any
specific questions, you should contact your Federal Benefits Unit. For a list of Federal
Benefits Units, visit (1) . You may also write the Social Security Administration, P.O. Box 17769, Baltimore,
Maryland 21235-7769, U.S.A. Please be sure to include (2) Social Security claim number if you do write. However, if you visit an office, please
take this letter. It will help the people there answer your questions. Medicare information
is available on the Internet at www.medicare.gov.
If you have any questions about railroad annuities or about your monthly check, please
contact your local Railroad District Office or the Railroad Retirement Board. The
address is U.S. Railroad Retirement Board, 844 Rush Street, Chicago, IL. 60611-2092,
U.S.A.
Fill-in values:
Fill-in (1) Systems Generated
Choice 1: www.socialsecurity.gov/foreign/foreign.htm
Fill-in (2) Systems Generated
Choice 1: your
Choice 2: Beneficiary's name possessive
REFERRAL DEFAULT (G39)
(System Generated)
Caption: If You Have Questions
We invite you to visit our website at www.socialsecurity.gov on the Internet to find general information about Social Security. If you have any
specific questions, call us toll-free at 1-800-772-1213. We can answer most questions
over the phone. If you prefer to visit one of our offices, please check the local
telephone directory for the office nearest you. Or call us and we can give you the
office address. Please have this letter with you if you call or visit an office. It
will help us answer your questions.
If you have any questions about railroad annuities or about your monthly check, please
contact your local Railroad District Office or the Railroad Retirement Board. The
address is U.S. Railroad Retirement Board, 844 Rush Street, Chicago, Illinois 60611-2092.
Fill-in value: None
RRB DOMESTIC REFERRAL PARAGRAPH (G29)
(System Generated)
Caption: If You Have Questions
We invite you to visit our website atwww.socialsecurity.gov (1) on the Internet to find general information about Social Security. If you have any
specific questions, you may call us toll free at 1-800-772-1213, or call your local
Social Security office at (2) . We can answer most questions over the phone. If you are deaf or hard of hearing,
you may call our TTY number, 1-800-325-0778. You can also write or visit any Social
Security office. The office that serves your area is located at:
(3)
(4)
(5)
(6)
If you do call or visit an office, please have this letter with you. It will help
us answer your questions. Also, if you plan to visit an office, you may call ahead
to make an appointment. This will help us serve you more quickly when you arrive at
the office.
If you have any questions about railroad annuities or about your monthly check, please
contact your local Railroad District Office or the Railroad Retirement Board. The
address is U.S. Railroad Retirement Board, 844 Rush Street, Chicago, IL. 60611-2092.
Fill-in values:
www.socialsecurity.gov
Office phone number in format 1-999-999-9999
Office address line 1
Office address line 2
Office address line 3
Office address line 4
REFERRAL FOREIGN (G22)
Visit our website at (1) to find general information about Social Security.
If you are in the United States, American Samoa, Guam, Northern Mariana Islands, Puerto
Rico, or the U.S. Virgin Islands:
-
•
Call us toll-free at 800-772-1213 (TTY 800-325-0778).
-
•
Contact your nearest Social Security office.
If you are outside the United States or its territories:
-
•
If you are in Canada, visit (2) to find the office that services your area.
-
•
Contact your nearest Federal Benefits Unit (FBU). Visit (3) for a list of FBUs.
-
•
Write to the Social Security Administration at:
P.O. Box 17769,
Baltimore, Maryland 21235-7769
USA
Please be sure to include (4) Social Security claim number if you do write. If you visit an office, please take
this letter with you. It will help us answer your questions.
If you have questions about Medicare, please visit (5) for information.
Fill-in values:
Fill-in (1) Systems Generated
Choice 1: www.ssa.gov
Fill-in (2) Systems Generated
Choice 1: www.ssa.gov/foreign/canada.htm
Fill-in (3) Systems Generated
Choice 1: www.ssa.gov/foreign/foreign.htm
Fill-in (4) Systems Generated
Choice 1: your
Choice 2: his
Choice 3: her
Fill-in (5) Systems Generated
Choice 1: Medicare.gov