BASIC (07-90)

NL 00725.011 Copy Cover Notice

Social Security Administration

Retirement, Survivors, and Disability Insurance

Important Information

                                                                                       Miscellaneous Program Service Center

                                                                                       225 E. Oak Street

                                                                                       Central City, ST 00000

                                                                                       Date:

                                                                                       Claim Number: 123-45-6789A

JANE ATTORNEY

10 CENTER AVENUE

ANYTOWN, ST 00001

Enclosed is a copy of the letter we sent to JOHN G. BENEFICIARY.

If You Have Any Questions

If you have any questions, you may call us at 1-800-2345-SSA. We can answer most questions over the phone. You can also write any Social Security office. The office that serves your area is located at:

                                                                      Street address

                                                                      City, State Zip

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 at the office. This will help us serve you more quickly when you arrive at the office.

                                                                                               Gwendolyn S. King