TN 22 (10-15)

NL 00730.108 “D” Paragraphs and Captions

List of “D” Paragraphs and Captions

A. “DIB” Universal Text Identifiers – Disability

DIBC02 – CAPTION

The Basis For Our Decision

B. “DID” Universal Text Identifiers – Direct Deposit

DIDC01 – CAPTION

If You Change Your Account

DID030 – ESTABLISH OR CHANGE IN DIRECT DEPOSIT

As you requested on or about (1) we changed (2) direct deposit information. We will send (3) Social Security payments to the new financial institution or account you selected.

You should keep the old account open until we send a payment to the new account. It usually takes us 1 to 2 months to change where we send payments.

Please let us know right away if your address changes so we can send any future letters to your new address. Also let us know if you change the bank account where we send (4) payments.

Fill-in values:

 

Fill-in (1)

Show the Bank Data Change Date (BDCD) in format Month DD, CCYY

Fill-in (2)

 

Choice 1

your

Choice 2

null plus Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) (possessive)

Fill-in (3)

 

Choice 1

your

Choice 2

his

Choice 3

her

Fill-in (4)

 

Choice 1

your

Choice 2

his

Choice 3

her

DID031 – DIRECT DEPOSIT CANCELLED (BID DATA DELETED)

Effective (1), (2) payments will no longer be sent to a financial institution.

Fill-in values:

 

Fill-in (1)

 

Choice 1

Historical Date of Entitlement Start (BCLM-DOE-START-REL) in the format Month CCYY

Choice 2

Current Operating Month (COM) in the format Month CCYY

Fill-in (2)

 

Choice 1

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) (possessive)

Choice 2

your

C. “DSL” Universal Text Identifiers – Disallowance

DSL038 – DISALLOWANCE INTRODUCTION

We are writing to tell you that (1) not qualify for (2).

Fill-in values:

 

Fill-in (1)

 

Choice 1

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) plus “does”

Choice 2

you do

Fill-in (2)

Type of benefit (e.g., Medicare)