TN 15 (02-90)

NL 00804.195 Multi Category

1. 1345. 

   Situation Where Used:

Denial—other decisions regarding age, blindness, etc., were or were not made; recipient denied for unrelated reason.

 

   (1)          (2)    not eligible for the reasons given above, we have    (3)          (4)          (5)    .

 

1. (1) 

   Choice 1 - Because

   Choice 2 - Although

    

2. (2) 

   Choice 1 - you are

   Choice 2 - she is

   Choice 3 - he is

    

3. (3) 

   Choice 1 - not determined whether or not

   Choice 2 - determined that

    

4. (4) 

   Choice 1 - you are

   Choice 2 - she is

   Choice 3 - he is

    

5. (5) 

   Choice 1 - age 65 or older

   Choice 2 - age 65 or older and blind

   Choice 3 - age 65 or older and disabled

   Choice 4 - age 65 or older, blind, and disabled

   Choice 5 - blind

   Choice 6 - disabled

   Choice 7 - blind and disabled

    

1. 2346. 

   Situation Where Used:

Recipient or eligible spouse has been receiving payments in concurrent categories. Blindness and/or disability ceases but eligibility continues, or payments are being reduced because of a change in spouse's category.

 

NOTE: Used with paragraph 2352.

 

Although    (1)    no longer    (2)    ,    (3)    still    (4)    because    (5)          (6)    . Because of this change we have refigured the amount of    (7)    check.

 

1. (1) 

   Choice 1 - you are

   Choice 2 - she is

   Choice 3 - he is

   Choice 4 - your spouse is

   Choice 5 - her spouse is

   Choice 6 - his spouse is

    

2. (2) 

   Choice 1 - blind

   Choice 2 - disabled

   Choice 3 - blind and disabled

    

3. (3) 

   Choice 1 - you are

   Choice 2 - she is

   Choice 3 - he is

    

4. (4) 

   Choice 1 - able to get payments

   Choice 2 - eligible

    

5. (5) 

   Choice 1 - you are

   Choice 2 - she is

   Choice 3 - he is

    

6. (6) 

   Choice 1 - age 65 or older

   Choice 2 - blind

   Choice 3 - age 65 or older and blind

   Choice 4 - disabled

   Choice 5 - age 65 or older and disabled

   Choice 6 - blind and disabled

    

7. (7) 

   Choice 1 - your

   Choice 2 - her

   Choice 3 - his

    

1. 2347. 

   Situation Where Used:

Recipient resides in a State which has its optional supplementation federally administered and which pays a higher rate for another category. Recipient is in current pay status.

 

   (1)    been getting Supplemental Security Income checks because    (2)          (3)    . Because    (4)    also    (5)    we can increase the amount of State money in     (6)    check beginning    (7)    .

 

1. (1) 

   Choice 1 - You have

   Choice 2 - She has

   Choice 3 - He has

    

2. (2) 

   Choice 1 - you are

   Choice 2 - she is

   Choice 3 - he is

    

3. (3) 

   Choice 1 - age 65 or older

   Choice 2 - blind

   Choice 3 - age 65 or older and blind

   Choice 4 - disabled

   Choice 5 - age 65 or older and disabled

   Choice 6 - blind and disabled

    

4. (4) 

   Choice 1 - you are

   Choice 2 - she is

   Choice 3 - he is

    

5. (5) 

   Choice 1 - age 65 or older

   Choice 2 - blind

   Choice 3 - age 65 or older and blind

   Choice 4 - disabled

   Choice 5 - age 65 or older and disabled

   Choice 6 - blind and disabled

    

6. (6) 

   Choice 1 - your

   Choice 2 - her

   Choice 3 - his

    

7. (7) 

   (Month/Year)

    

1. 2351. 

   Situation Where Used:

Increase in recipient's payment due to change in spouse's category.

 

   (1)    checks are being increased because    (2)    spouse is now    (3)    .

 

1. (1) 

   Choice 1 - Your

   Choice 2 - Her

   Choice 3 - His

    

2. (2) 

   Choice 1 - your

   Choice 2 - her

   Choice 3 - his

    

3. (3) 

   Choice 1 - age 65 or older

   Choice 2 - blind

   Choice 3 - age 65 or older and blind

   Choice 4 - disabled

   Choice 5 - age 65 or older and disabled

   Choice 6 - blind and disabled

   Choice 7 - age 65 or older, blind, and disabled

    

1. 2352. 

   Situation Where Used:

Recipient or eligible spouse has been receiving payments in concurrent categories. Blindness and/or disability ceases but eligibility continues.

 

NOTE: Used with paragraph 2346.

 

If    (1)    condition should get worse, please contact     (2)     local Social Security office to see whether increased benefits can be paid.

 

1. (1) 

   Choice 1 - your

   Choice 2 - her

   Choice 3 - his

    

2. (2) 

   Choice 1 - your

   Choice 2 - her

   Choice 3 - his

    

1. 2638. 

   Situation Where Used:

Recipient has been on the SSI rolls as aged. He/she is determined to also be blind and/or disabled. Amount due may be retroactive or retroactive and ongoing.

 

   (1)    been    (2)    because    (3)    age 65 or older. Since it has been determined that    (4)    also    (5)          (6)    ,    (7)    due additional money    (8)    .

 

1. (1) 

   Choice 1 - You have

   Choice 2 - She has

   Choice 3 - He has

    

2. (2) 

   Choice 1 - getting Supplemental Security Income checks

   Choice 2 - eligible under the Supplemental Security Income program

    

3. (3) 

   Choice 1 - you are

   Choice 2 - she is

   Choice 3 - he is

    

4. (4) 

   Choice 1 - you are

   Choice 2 - she is

   Choice 3 - he is

   Choice 4 - you were

   Choice 5 - she was

   Choice 6 - he was

    

5. (5) 

   Choice 1 - blind

   Choice 2 - disabled

   Choice 3 - blind and disabled

    

6. (6) 

   Choice 1 - in (Month/Year)

   Choice 2 - in (Month/Year) through (Month/Year)

   Choice 3 - for (Month/Year) on

    

7. (7) 

   Choice 1 - you are

   Choice 2 - she is

   Choice 3 - he is

    

8. (8) 

   Choice 1 - for (Month/Year)

   Choice 2 - for (Month/Year) through (Month/Year)

   Choice 3 - for (Month/Year) on

    

1. 2640. 

   Situation Where Used:

A sponsored alien recipient becomes blind or disabled after entry to the U.S.

 

Since    (1)    disability began after    (2)    entered the United States,    (3)    check amount has been refigured. It is    (4)    necessary to count the income and certain property of    (5)    when we figure the amount of    (6)    Supplemental Security Income checks.

 

1. (1) 

   Choice 1 - your

   Choice 2 - her

   Choice 3 - his

    

2. (2) 

   Choice 1 - you

   Choice 2 - she

   Choice 3 - he

    

3. (3) 

   Choice 1 - your

   Choice 2 - her

   Choice 3 - his

    

4. (4) 

   Choice 1 - not

   Choice 2 - no longer

    

5. (5) 

   Choice 1 - your sponsor

   Choice 2 - her sponsor

   Choice 3 - his sponsor

   Choice 4 - your sponsor and the spouse of your sponsor

   Choice 5 - her sponsor and the spouse of her sponsor

   Choice 6 - his sponsor and the spouse of his sponsor

    

6. (6) 

   Choice 1 - your

   Choice 2 - her

   Choice 3 - his