TN 9 (02-07)
NL 00722.170 T2 Application Cover Letter for Wet Signature
Cover Letter for Wet Signature
Social Security Administration
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City, State zip code
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On [date], we talked with you about possible entitlement to [fill-in] [fill-in]. We filled out the enclosed application based on your statements. However, we cannot decide if there is entitlement to benefits until you sign the application and give us more information.
What You Need To Do
Answer any questions circled on the application
Correct any information that is wrong and sign your initials next to the corrections
Sign and date the application and any accompanying forms in the space for your signature.
Mail the application, any accompanying forms and the information or evidence checked below to the Social Security office address shown above. A self-addressed envelope is enclosed for your convenience. Add your return address on the envelope and remember to place the correct amount of postage on it.
If We Do Not Hear From You
It is important that you sign the application and return it to us within 10 days of the date of this notice. The sooner we get the signed application, the sooner we can decide if [fill-in] eligible.
If we receive the signed application after any of the dates shown below, you may lose benefits.
The statement checked below applies to you.
If we receive the signed application by we will use the date we talked to you about possible entitlement to benefits, as the filing date.
If we receive the signed application after but no later than we will use the date of the application interview, , as the filing date.
Things We Need
We need the items checked below. You must send us the original documents except as noted below. If you do not have the original, you must send a copy certified by the person who is the custodian of the original record. Do not send copies signed by a notary public. We will return the item(s) to you. We can accept a photocopy of a W-2 form or a tax return (1040, Schedule C, Schedule SE, etc.). Do not delay signing and sending us the enclosed application even if you do not have the records we need.
Birth Certificate or religious record of age for
Marriage Certification for
Divorce or Annulment Decree for
U.S. Passport, Certificate of Citizenship or Naturalization, or current immigration docuent for
Withholding statement (For W-2) for
Tax return and Schedule ESE for
Certificate of Appointment as legal representative for
Death Ceriticate for
Award letter or correspondence concerning
Military service discharge papers for
Blank check for direct deposit information (write VOID on the front of the check)
If You Have Any Questions
If you have any questions, you should call, write or visit any Social Security office. If you call or visit our office, please have this letter with you and ask for The telephone number is shown above. We can answer most questions over the phone. Also, if you plan to visit an office, you may call ahead to make an appointment. This will help us serve you more quickly.