TN 11 (05-11)

NL 00730.112 “F” Paragraphs and Captions

A. List of “F” Paragraphs and Captions

1. FOB012 – BENEFITS SUSPENDED FOR NOCICS, CERTEL, CHDAGE

We may be able to continue to pay (1) at a reduced rate even though (2) (3) not taking care of a child who is under 16 and entitled to benefits. We need more information from you in order to continue the checks. Please get in touch with us as soon as you can.

FILLINS:

 

FILLIN 1

 

Choice 1

Mr. plus BLN

Choice 2

Ms. plus BLN

Choice 3

you

FILLIN 2

 

Choice 1

he

Choice 2

she

Choice 3

you

FILLIN 3

 

Choice 1

is

Choice 2

are

2. FOR002 – SUSPENDED FOR A TREASURE BARRED COUNTRY

If (1) (2) to another country, we may be able to begin payments again. Please contact us if this happens.

FILLINS:

 

FILLIN 1

 

Choice 1

BGN plus BLN

Choice 2

you

FILLIN 2

 

Choice 1

moves

Choice 2

move

3. FUGC01 – CAPTION

Information About (1) Benefits

FILLINS:

 

FILLIN 1

 

Choice 1

BGN plus BLN possessive

Choice 2

Your

4. FUG058 – BENEFITS SUSPENDED DUE TO FUGITIVE FELON (follows UTI SUS072)

We cannot pay benefits to (1) because (2) an outstanding arrest warrant for a (3).

FILLINS:

 

FILLIN 1

 

Choice 1

BGN plus BLN

Choice 2

you

FILLIN 2

 

Choice 1

he has

Choice 2

she has

Choice 3

you have

FILLIN 3

 

Choice 1

felony crime

Choice 2

violation of a condition of probation or parole under Federal or State law

5. FUG059 – BENEFITS SUSPENDED DUE TO FUGITIVE FELON (under caption INFC01)

Our records show that the (1) (2) (3) issued a warrant for (4) arrest for a felony crime or a violation of Federal or State probation or parole on (5).

(6)

(7) (8)

(9) (10)

(11)(12)

Social Security cannot provide further information about the warrant. (13) (14) (15)

FILLINS:

 

FILLIN 1

Show the Warrant Issuing Agency on the FFSCF that corresponds to this warrant

FILLIN 2

 

Choice 1

Show the Warrant Issuing Agency Address on FRATS that corresponds to this warrant

Choice 2

null (if no address is available when reading FRATS)

FILLIN 3

 

Choice 1

Show the Warrant Issuing Agency Phone number on the FFSCF and display the word Phone followed by the actual phone number

Choice 2

Null (if no Phone number is available on the FFSCF)

FILLIN 4

 

Choice 1

BGN plus BLN possessive

Choice 2

your

FILLIN 5

Show the Warrant Date on the MBR and display as January 15, 2006 (this date is in the format MMDDCCYY)

FILLIN 6

 

Choice 1

The warrant information we have is:

Choice 2

null (if there is no warrant number or OCA number or NCIC number available on the FFSCF)

FILLIN 7

 

Choice 1

Warrant Number: (show these words plus the colon as the FILLIN value if the warrant number is on the FFSCF)

Choice 2

null (if no warrant number is available on FFSCF)

FILLIN 8

 

Choice 1

Show the actual Warrant Number on the FFSCF (e.g. NY123456)

Choice 2

null (if no warrant number available on the FFSCF)

FILLIN 9

 

Choice 1

OCA Number: (show these words plus the colon as the FILLIN value if the OCA number is on the FFSCF)

Choice 2

null (if no OCA number is on the FFSCF)

FILLIN 10

 

Choice 1

Show the actual OCA number on the FFSCF

Choice 2

null (if no OCA number is on the FFSCF)

FILLIN 11

 

Choice 1

NCIC Number: (show these words plus the colon as the FILLIN value if the NCIC number is on the FFSCF)

Choice 2

null (if no NCIC number is on the FFSCF)

FILLIN 12

 

Choice 1

Show the actual NCIC number on the FFSCF

Choice 2

null (if no NCIC number is on the FFSCF)

FILLIN 13

Please contact the (always show these words as the FILLIN value)

FILLIN 14

Warrant Issuing Agency on the FFSCF

FILLIN 15

directly (always show this word as the FILLIN value)

6. FUG060 – BENEFITS SUSPENDED DUE TO FUGITIVE FELON AND THERE IS NO T2 OVERPAYMENT OR THE T2 OVERPAYMENT IS NOT BECAUSE OF THE FUGITIVE FELON SUSPENSION (under caption PAYC27 – How (1) Benefits Can Be Paid)

We will pay (1) if you contact us at any time and can show us that any of the following apply:

  • The warrant was issued incorrectly in (2) name because someone stole (3) identity. To prove this, submit a copy of the police report that (4) filed as a victim of identity theft or another official document from the court or the warrant issuing agency stating that the warrant was erroneously issued in (5) name.

  • (6) found not guilty of the criminal offense. To prove this, submit a copy of the court docket indicating (7) found not guilty of the criminal charges or a copy of the court decision showing that (8) found not guilty of the criminal charges.

  • The underlying charges relating to the criminal offense were dismissed. To prove this, submit a copy of the court docket indicating charges were dismissed or another official court or law enforcement agency document stating that it dismissed the criminal charges.

  • The warrant for (9) arrest for the criminal offense was withdrawn. To prove this, submit a copy of the court docket or another official document from the issuing agency, indicating the warrant in question was withdrawn.

  • (10) otherwise cleared of the criminal offense. To prove this, submit a copy of the court docket or other court document indicating (11) cleared of the criminal charges.

FILLINS:

 

FILLIN 1

 

Choice 1

BGN plus BLN

Choice 2

you

FILLIN 2

 

Choice 1

his

Choice 2

her

Choice 3

your

FILLIN 3

 

Choice 1

his

Choice 2

her

Choice 3

your

FILLIN 4

 

Choice 1

he

Choice 2

she

Choice 3

you

FILLIN 5

 

Choice 1

his

Choice 2

her

Choice 3

your

FILLIN 6

 

Choice 1

He was

Choice 2

She was

Choice 3

You were

FILLIN 7

 

Choice 1

he was

Choice 2

she was

Choice 3

you were

FILLIN 8

 

Choice 1

he was

Choice 2

she was

Choice 3

you were

FILLIN 9

 

Choice 1

his

Choice 2

her

Choice 3

your

FILLIN 10

 

Choice 1

He was

Choice 2

She was

Choice 3

You were

FILLIN 11

 

Choice 1

he was

Choice 2

she was

Choice 3

you were

7. FUG062 - BENEFITS SUSPENDED DUE TO FUGITIVE FELON AND THERE IS NO T2 OVERPAYMENT OR THE T2 OVERPAYMENT IS NOT BECAUSE OF THE FUGITIVE FELON SUSPENSION AND AN ADVANCE NOTICE HAS BEEN SENT TO THE BENEFICIARY (under caption PAYC27 – How (1) Benefits Can Be Paid)

If none of the above applies, we also may pay (1) benefits if you contact us within 12 months from (2) and can show us that:

  • The crime for which the warrant was issued or the probation or parole violation was both nonviolent and not drug related and, if a probation or parole violation is involved, the original crime(s) for which (3) paroled or put on probation was both nonviolent and not drug related.

And

  • (4) neither been convicted of nor pled guilty to another felony crime since the date of the warrant.

And

  • The law enforcement agency that issued the warrant reports that it will not extradite (5) for the charges on the warrant or that it will not take action on the warrant for (6) arrest.

Or

  • The crime for which the warrant was issued is based on or the probation or parole violation was both nonviolent and not drug related and, if a probation or parole violation is involved, the original crime(s) for which (7) paroled or put on probation was both nonviolent and not drug related.

And

  • (8) neither been convicted of nor pled guilty to another felony crime since the date of the warrant.

And

  • The only existing warrant was issued 10 or more years ago.

And

  • (9) medical condition impairs (10) mental capability to resolve the warrant; or (11) incapable of managing (12) benefits; or (13) legally incompetent; or Social Security has appointed a representative payee to handle (14) benefits or (15) residing in a long-term care facility, such as a nursing home or mental treatment/care facility.

FILLINS:

 

FILLIN 1

 

Choice 1

BGN plus BLN

Choice 2

you

FILLIN 2

Show the date of the Advance Notice of Suspension (this date will be derived by using the value for the Due Process Maturity Date on the FFSCF for this warrant and subtracting 30 days from this date)

FILLIN 3

 

Choice 1

he was

Choice 2

she was

Choice 3

you were

FILLIN 4

 

Choice 1

He has

Choice 2

She has

Choice 3

You have

FILLIN 5

 

Choice 1

him

Choice 2

her

Choice 3

you

FILLIN 6

 

Choice 1

his

Choice 2

her

Choice 3

your

FILLIN 7

 

Choice 1

he was

Choice 2

she was

Choice 3

you were

FILLIN 8

 

Choice 1

He has

Choice 2

She has

Choice 3

You have

FILLIN 9

 

Choice 1

His

Choice 2

Her

Choice 3

Your

FILLIN 10

 

Choice 1

his

Choice 2

her

Choice 3

your

FILLIN 11

 

Choice 1

he is

Choice 2

she is

Choice 3

you are

FILLIN 12

 

Choice 1

his

Choice 2

her

Choice 3

your

FILLIN 13

 

Choice 1

he is

Choice 2

she is

Choice 3

you are

FILLIN 14

 

Choice 1

his

Choice 2

her

Choice 3

your

FILLIN 15

 

Choice 1

he is

Choice 2

she is

Choice 3

you are

8. FUG063 – BENEFITS SUSPENDED DUE TO FUGITIVE FELON AND THERE IS A T2 OVERPAYMENT DUE TO THE FELON SUSPENSION (under caption PAYC27 – How (1) Benefits Can Be Paid)

(1) will not be overpaid for the months that (2) had an outstanding felony warrant for a crime or a warrant for a probation or parole violation if you contact us at any time and can show us that any of the following apply:

  • The warrant was issued incorrectly in (3) name because someone stole (4) identity. To prove this, submit a copy of the police report that (5) filed as a victim of identity theft or another official document from the court or the warrant issuing agency stating that the warrant was erroneously issued in (6) name.

  • (7) found not guilty of the criminal offense. To prove this, submit a copy of the court docket indicating (8) found not guilty of the criminal charges or a copy of the court decision showing that (9) found not guilty of the criminal charges.

  • The underlying charges relating to the criminal offense were dismissed. To prove this, submit a copy of the court docket indicating charges were dismissed or another official court or law enforcement agency document stating that it dismissed the criminal charges.

  • The warrant for (10) arrest for the criminal offense was withdrawn. To prove this, submit a copy of the court docket or another official document from the issuing agency, indicating the warrant in question was withdrawn.

(11) otherwise cleared of the criminal offense. To prove this, submit a copy of the court docket or other court document indicating you were cleared of the criminal charges.

FILLINS:

 

FILLIN 1

 

Choice 1

BGN plus BLN

Choice 2

You

FILLIN 2

 

Choice 1

he

Choice 2

she

Choice 3

you

FILLIN 3

 

Choice 1

his

Choice 2

her

Choice 3

your

FILLIN 4

 

Choice 1

his

Choice 2

her

Choice 3

your

FILLIN 5

 

Choice 1

he

Choice 2

she

Choice 3

you

FILLIN 6

 

Choice 1

his

Choice 2

her

Choice 3

your

FILLIN 7

 

Choice 1

He was

Choice 2

She was

Choice 3

You were

FILLIN 8

 

Choice 1

he was

Choice 2

she was

Choice 3

you were

FILLIN 9

 

Choice 1

he was

Choice 2

she was

Choice 3

you were

FILLIN 10

 

Choice 1

his

Choice 2

her

Choice 3

your

FILLIN 11

 

Choice 1

He was

Choice 2

She was

Choice 3

You were

9. FUG064 – BENEFITS SUSPENDED DUE TO FUGITIVE FELON AND THERE IS A T2 OVERPAYMENT DUE TO THE FELON SUSPENSION AND AN ADVANCE NOTICE OF SUSPENSION HAS NOT BEEN SENT (under caption PAYC27 – How (1) Benefits Can Be Paid)

If none of the above applies, we also may not consider (1) overpaid (2) for the month(s) of (3) (4) (5) if you contact us within 12 months from the date of this notice and can show us that:

  • The crime for which the warrant was issued or the probation or parole violation was both nonviolent and not drug related and, if a probation or parole violation is involved, the original crime(s) for which (6) paroled or put on probation was both nonviolent and not drug related.

And

  • (7) neither been convicted of nor pled guilty to another felony crime since the date of the warrant.

And

  • The law enforcement agency that issued the warrant reports that it will not extradite (8) for the charges on the warrant or that it will not take action on the warrant for (9) arrest.

Or

  • The crime for which the warrant was issued is based on or the probation or parole violation was both nonviolent and not drug related and, if a probation or parole violation is involved, the original crime(s) for which (10) paroled or put on probation was both nonviolent and not drug related.

And

  • (11) neither been convicted of nor pled guilty to another felony crime since the date of the warrant.

And

  • The only existing warrant was issued 10 or more years ago.

And

(12) medical condition impairs (13) mental capability to resolve the warrant; or (14) incapable of managing (15) benefits; or (16) legally incompetent; or Social Security has appointed a representative payee to handle (17) benefits or (18 ) residing in a long-term care facility, such as a nursing home or mental treatment/care facility.

FILLINS:

 

FILLIN 1

 

Choice 1

BGN plus BLN

Choice 2

you

FILLIN 2

Show the amount of the new overpayment due to the fugitive felon suspension

FILLIN 3

 

Choice 1

Show the first effective date in HIST data that corresponds to the ongoing FUGFEL suspension (e.g. January 2006)

Choice 2

Show the first effective date in HIST data that corresponds to the embedded period of suspension (e.g. January 2006)

FILLIN 4

 

Choice 1

and

Choice 2

through

Choice 3

null (this value is used for an ongoing suspension)

FILLIN 5

 

Choice 1

Show COM – 1 month as the effective date for the last month of FUGFEL suspension for an ongoing suspension (e.g. May 2006)

Choice 2

For an embedded FUGFEL suspension show the last month of the suspension (e.g. May 2006)

FILLIN 6

 

Choice 1

he was

Choice 2

she was

Choice 3

you were

FILLIN 7

 

Choice 1

He has

Choice 2

She has

Choice 3

You have

FILLIN 8

 

Choice 1

him

Choice 2

her

Choice 3

you

FILLIN 9

 

Choice 1

his

Choice 2

her

Choice 3

your

FILLIN 10

 

Choice 1

he was

Choice 2

she was

Choice 3

you were

FILLIN 11

 

Choice 1

He has

Choice 2

She has

Choice 3

You have

FILLIN 12

 

Choice 1

His

Choice 2

Her

Choice 3

Your

FILLIN 13

 

Choice 1

his

Choice 2

her

Choice 3

your

FILLIN 14

 

Choice 1

he is

Choice 2

she is

Choice 3

you are

FILLIN 15

 

Choice 1

his

Choice 2

her

Choice 3

your

FILLIN 16

 

Choice 1

he is

Choice 2

she is

Choice 3

you are

FILLIN 17

 

Choice 1

his

Choice 2

her

Choice 3

your

FILLIN 18

 

Choice 1

he is

Choice 2

she is

Choice 3

you are

10. FUG065 – BENEFITS SUSPENDED DUE TO FUGITIVE FELON AND THERE IS A T2 OVERPAYMENT DUE TO THE FELON SUSPENSION AND AN ADVANCE NOTICE OF SUSPENSION HAS BEEN SENT (under caption PAYC27 – How (1) Benefits Can Be Paid)

If none of the above applies, we also may not consider (1) overpaid (2) for the month(s) of (3) (4) (5) if you contact us within 12 months from (6) and can show us that:

  • The crime for which the warrant was issued or the probation or parole violation was both nonviolent and not drug related and, if a probation or parole violation is involved, the original crime(s) for which (7) paroled or put on probation was both nonviolent and not drug related.

And

  • (8) neither been convicted of nor pled guilty to another felony crime since the date of the warrant.

And

  • The law enforcement agency that issued the warrant reports that it will not extradite (9) for the charges on the warrant or that it will not take action on the warrant for (10) arrest.

And

  • The crime for which the warrant was issued is based on or the probation or parole violation was both nonviolent and not drug related and, if a probation or parole violation is involved, the original crime(s) for which (11) paroled or put on probation was both nonviolent and not drug related.

And

  • (12) neither been convicted of nor pled guilty to another felony crime since the date of the warrant.

And

  • The only existing warrant was issued 10 or more years ago.

And

  • (13) medical condition impairs (14) mental capability to resolve the warrant; or (15) incapable of managing (16) benefits; or (17) legally incompetent; or Social Security has appointed a representative payee to handle (18) benefits or (19) residing in a long-term care facility, such as a nursing home or mental treatment/care facility.

FILLINS:

 

FILLIN 1

 

Choice 1

BGN plus BLN

Choice 2

you

FILLIN 2

Show the amount of the new overpayment due to the fugitive felon suspension

FILLIN 3

 

Choice 1

Show the first effective date in HIST data that corresponds to the ongoing FUGFEL suspension (e.g. January 2006)

Choice 2

Show the first effective date in HIST data that corresponds to the embedded period of suspension (e.g. January 2006)

FILLIN 4

 

Choice 1

and

Choice 2

through

Choice 3

null (this value is used for an ongoing suspension)

FILLIN 5

 

Choice 1

Show COM – 1 month as the effective date for the last month of FUGFEL suspension for an ongoing suspension (e.g. May 2006)

Choice 2

Show the last month of the FUGFEL embedded suspension (e.g. May 2006)

FILLIN 6

Show the date of the Advance notice of suspension (this date is derived by using the Due Process Maturity Date on the FFSCF for this warrant date and subtracting 30 days from this date)

FILLIN 7

 

Choice 1

he was

Choice 2

she was

Choice 3

you were

FILLIN 8

 

Choice 1

He has

Choice 2

She has

Choice 3

You have

FILLIN 9

 

Choice 1

him

Choice 2

her

Choice 3

you

FILLIN 10

 

Choice 1

his

Choice 2

her

Choice 3

your

FILLIN 11

 

Choice 1

he was

Choice 2

she was

Choice 3

you were

FILLIN 12

 

Choice 1

He has

Choice 2

She has

Choice 3

You have

FILLIN 13

 

Choice 1

His

Choice 2

Her

Choice 3

Your

FILLIN 14

 

Choice 1

his

Choice 2

her

Choice 3

your

FILLIN 15

 

Choice 1

he is

Choice 2

she is

Choice 3

you are

FILLIN 16

 

Choice 1

his

Choice 2

her

Choice 3

your

FILLIN 17

 

Choice 1

he is

Choice 2

she is

Choice 3

you are

FILLIN 18

 

Choice 1

his

Choice 2

her

Choice 3

your

FILLIN 19

 

Choice 1

he is

Choice 2

she is

Choice 3

you are

11. FUG104 – MARTINEZ RESUMPTION OF BENEFITS

We have reviewed (1) claim because of the settlement of the Martinez court case. This settlement changes the types of arrest warrants that we can use to affect the payment of benefits. Our records show that (2) an outstanding arrest warrant that we will no longer use to affect the payment of (3) benefits.

FILLINS

 

FILLIN 1

 

Choice 1

Beneficiary’s full name possessive

Choice 2

your

FILLIN 2

 

Choice 1

Beneficiary’s full name plus the word “has”

Choice 2

Beneficiary’s full name plus the word “has”

FILLIN 3

 

Choice 1

his

Choice 2

her

Choice 3

your

  

12. FUG105 – MARTINEZ RESUMPTION OF BENEFITS

We have reviewed (1) claim because of the settlement of the Martinez court case. Starting April 1, 2009, this settlement changes the types of arrest warrants that we can use to affect the payment of benefits. Our records show that (2) an outstanding arrest warrant that we will no longer use to affect the payment of (3) benefits.

FILLINS:

 

FILLIN 1

 

Choice 1

Beneficiary’s full name possessive

Choice 2

your

FILLIN 2

 

Choice 1

Beneficiary’s full name plus the word “has”

Choice 2

Beneficiary’s full name plus the word “has”

FILLIN 3

 

Choice 1

his

Choice 2

her

Choice 3

your

13. FUGC01 – Caption

Information About (1) Your Benefits

14. FUGC05 – Caption

Information About The Martinez Settlement


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900730112
NL 00730.112 - "F" Paragraphs and Captions - 04/15/2015
Batch run: 04/15/2015
Rev:04/15/2015