BASIC (05-11)

NL 00720.310 RPY Representative Payee

RPY003 INITIAL AWARD LAF S8 PAYEE SELECTION CONTACT (S22)

(System Generated)

Caption: What You Need To Do

If you know someone who can be your payee, please call us at either of the telephone numbers shown at the end of this letter. We will consider this person for your payee. Also, call us within the next 30 days if you do not hear from us. You may be able to keep getting some payments directly while we make our decision.

RPY015 CHANGE IN PAYEE (G57)

(System Generated)

Caption: Your Benefits

Thank you for your willingness to serve as a representative payee. We have decided that it would be best for  (1)  to have  (2)  checks sent to another payee.

Fill-in values:

Fill-in (1)

Choice 1: Full Name

Choice: 2 you

Fill-in (2)

Choice 1: his

Choice 2: her

Choice 3: your

RPY039 INTRODUCTORY STATEMENT CHANGE IN PAYEE AWARD NEW PAYEE (G47)

(System Generated)

Caption: None

We have chosen you to be  (1)  representative payee. The rest of this letter will give you information about the checks you will receive while you are the payee.

Fill-in values:

Fill-in (1)

Full Name

RPY041 REPRESENTATIVE PAYEE (B27)

(Requested)

Caption: Your Responsibilities

Please read the enclosed pamphlet, "A Guide For Representative Payees." It lists the things you will need to know because you have been chosen as payee. If you have any questions related to your duties as a representative payee, we invite you to visit our website at  (1)  on the Internet.

Fill-in values: System Generated

Fill-in (1)

www.socialsecurity.gov/payee

RPY041 REPRESENTATIVE PAYEE INDIVIDUAL OR ORGANIZATION (G06)

(System Generated)

Caption: Your Responsibilities

Please read the enclosed pamphlet, "A Guide For Representative Payees." It lists the things you will need to know because you have been chosen as payee. If you have any questions related to your duties as a representative payee, we invite you to visit our website at  (1)  on the Internet.

Fill-in values:

Fill-in (1)

www.socialsecurity.gov/payee


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900720310
NL 00720.310 - RPY Representative Payee - 04/09/2013
Batch run: 04/09/2013
Rev:04/09/2013