TN 13 (09-02)
We send manually prepared notices when the SSI notice system cannot generate a notice
or when an automated notice may be incorrect or incomplete. In some cases when a manual
notice is required, we must suppress any systems-generated notice for the situation.
Suppress the automated notice and issue a required manual notice(s) when:
There is a change in the TMR (e.g., DX to DI, DC to DI) before the appeal is effectuated;
Claimant is awarded and has any month of N02 or N22 during the period of adjudication;
Payments were made before effectuation (e.g., emergency advance or presumptive payments)
and the NOTC segment on the SSR shows notice suppression (e.g., first four positions
show 0000 or 0001) for any run date;
Award or denial letter was previously produced (8025 or 8030 in the NOTC segment of
This is the first notice on start date records; or
Record is in force pay/force due;
NOTE: If notice suppression is input via the Miscellaneous Data (CMSC) screen or 1719B
at any time prior to the appeal being effectuated and the NOTC segment of the SSR
has not been updated, a notice will not be sent.
The individual has a legal guardian who is not the representative payee on the record;
The next month's check (potential overpayment month) can be reduced only if we manually
prepare and send the advance notice;
An overpayment due to excess resources is waived because it meets the conditions in
The Goldberg/Kelly protected payment level changes because of subsequent events during
a period of payment continuation. (See SI 02301.307 on manual Goldberg/Kelly notice procedures.);
Changes in conversion data result in a reduced payment;
Converted recipients lose grand-fathered protection; benefits are reduced or suspended
(SI 01210.300D. and SI 01220.100C.3.),
Substantial gainful work activity results in an IC denial;
The F0 believes a systems-generated notice may be incorrect, inappropriate, or incomplete
in a particular case situation; (If the FO is aware that an automated notice may cause
questions or needs to give a fuller explanation in a particular case, it may send
a manual notice.)
A case involves a finding of N05 for any month(s) in the retroactive period;
Records go into N07 and N08 after adjudication; (DPD must be input.)
Death benefits are income to an individual (SI 00830.545);
A case involves unstated income (SI 00810.035) in any month;
Posting data obtained from computer matching covered by P.L. 100-503, which the recipient
has not confirmed; (See SI 02310.005.)
Start date records paid presumptive disability or blindness payments and then denied
for nondisability reasons; (See NL 00801.015.)
Claimant is awarded and has any month of N25 during the period of adjudication. See
SI 00530.205 - Fugitive Felon Automated Case Processing (FFAP) for when the FFAP system issues
Records go into N25 after adjudication. See SI 00530.205 - Fugitive Felon Automated Case Processing (FFAP) for when the FFAP system issues
The date of entitlement (DOE) on the new record is earlier than the DOE on the old
record and the new DOE is earlier than the first date in Computation History (CMPH)
An automated SSI appeal effectuation notice for reversals of initial disability determinations
will be generated when the appropriate systems input is made. See MSOM MSSICS 020.025.
Otherwise, issue a manual notice using Form SSA-L8455-U2 for IC reconsideration reversals
and Form SSA-L8456-U2 for affirmations of IC decisions (see NL 00802.050). Use Form SSA-L8457-U2 for post-eligibility (PE) cases (see NL 00803.095).
The system cannot generate all notices. Issue a manual notice in the following situations:
Claimant is denied for N02, N05, N07, N08, N22, N24, or N25.
More than one factor of eligibility results in an initial claims (IC) denial;
An individual is eligible, but you are still developing for a representative payee
(S08). (See NL 00802.010D.5.)
Advance notice is required for appointment of change in representative payees.
The record is terminated for a reason other than death.
The record is “awaiting spouse” (TMR-ES).
Underpayments are due the survivors of deceased claimants (SI 02101.008).
When changing the reason for denial or ongoing suspension, the system will not issue
the second notice. FOs must notify the individual of the new decision (denial or ineligibility).
EXAMPLE: An individual is suspended for N17. Later we discover there are excess resources,
and we overlay the field with N04. FOs must issue a manual notice for the excess resources.
Recipient receives payment on more than one SSI record.
Overpayment notice situations excluded from AONS (SM 01310.305).
Full or partial denials of overpayment waiver requests.
Most notices sent on start date records. (See NL 00801.015 and NL 00801.010B.1. for the one start date situation where notice suppression is required.)
Force payment cases, one-time payments.
Records are already in payment status (PS) N07, N08, S06 or S08, and we need to send
a notice about an issue like an additional overpayment in the retroactive period.
A change in the Type Master Record (TMR) during adjudication (i.e., from DB/DC to DM/DC).
Select the form for the type of action and the appeal rights that apply. Appeal rights
are preprinted on the forms. Use these forms for manual notices:
STANDARD NOTICE FORM
Notice of Award, (SSA-L8025-U2)
Notice of Disapproved Claim, (SSA-L8030-U2)
Notice of Revised Determination, (SSA-L8100-U2)
NL 00803.025, NL 00803.030
Notice of Change in Payment, (SSA-L8151-U2)
NL 00803.025, NL 00803.035
Notice of Planned Action, (SSA-L8155-U2)
Notice of Overpayment,
Overpayment Information, (SSA-L8163-U3)
Overpayment Information, (SSA-L8174-U3)
Notice of Reconsideration,
NL 00802.050, NL 00803.095
*There are 2 ways to request a reconsideration.
**The first level of appeal is a hearing.
***There are 3 ways to request a reconsideration.
NOTE: The notices listed above (except the SSA-L8165-U2) may be found on the Distributed
Online Correspondence System (DOCS).
See SSA’s notice standards in NL 00610.000 for guidelines on readability, writing, grammar, organization, style, and appearance
Follow instructions in NL 00802.001 and NL 00803.001 for required notice content and format. Use paragraphs from standard notice language
in NL 00804.100 whenever possible.
Follow SI 02201.025 and NL 00803.100 for overpayment notice rules.
Enclose the appropriate pamphlets (see NL 00801.001C.2.).
Follow instructions in NL 00801.025 for Spanish language notices and Spanish language cover letters.
Send each member of an eligible couple a separate notice.
Prepare and mail manual notices and the appropriate copies to representative payees and authorized third parties (authorized representatives and legal guardians).
NOTE: Remember to send copies of all notices, administrative actions, determinations, decisions,
and requests for information or evidence to authorized third parties.
Attach representative payee cover sheet, SSA-L8176-U2, for overpayment notices to
representative payees (NL 00803.150).
You may use the SSA-L4031, as a cover sheet for notices, come-in letters, or other
letters sent both to the recipient and a payee or authorized representative. This
notice is on the DOCS.
Issue the notice as soon as possible after the determination. Date the notice the
day it is mailed.
Place a copy of each manual notice in the individual's file.
Policy Writers ToolKit Part 6 Beneficiary Notices, http://eis.ba.ssa.gov/toolkit/tk-600-table-con.htm
SSA Notice Standards, NL 00610.001 through NL 00610.110
Suppressing the Automated Notice, SM 01005.535, SM 01301.675, SM 01305.530, SM 01305.540
and SM 01301.675
Manual Notices Required, SM 01305.520 and SI 02301.307 for manual Goldberg/Kelly notice procedures.
AONS Processing, SM 01310.300.
Preparing Initial Claims Notices, NL 00802.001.
Preparing Post-eligibility Notices, NL 00803.001.
Reconsideration Determinations, SI 04020.010 A. and SI 04020.010B.2.
Favorable Administrative Law Judge Decisions, SI 04030.050
Standard Notice Language, NL 00804.100.
Representative Payee Advance Notices, NL 00703.763.
Formal Representative Payee Notices, NL 00703.821.