BASIC (03-11)

VB 01701.020 Evaluation of Completed Form SSA-2010-F6

A. Introduction

This section summarizes instructions about how to evaluate responses on the SSA-2010-F6 (Statement for Determining Continuing Entitlement for Special Veterans Benefits (SVB)).

B. Procedure for evaluating beneficiary responses

Follow the chart below for possible responses on the SSA-2010-F6 and required action for each response.

Question

Response

Action Required

1

Name

Evaluate the SSR with the Numident for accuracy. Contact the beneficiary if there is a discrepancy.

SSN

Evaluate the SSR with Numident for accuracy. Contact the beneficiary if there is a discrepancy.

Residence Address

Compare and evaluate with the SSR for accuracy. Make necessary systems changes for all programs involved.

Blank

Contact the beneficiary and refer to Documentation of Efforts Taken To Obtain Evidence/Information VB 01503.215.

2

Name

Evaluate the SSR with Numident for accuracy. Contact the payee if a discrepancy exists.

SSN

Evaluate the SSR with Numident for accuracy. Contact the payee if a discrepancy exists.

Blank

If the SSR lists the payee, contact the payee and refer to Documentation of Efforts Taken To Obtain Evidence/Information VB 01503.215.

If the SSR lists no payee, go to Question 3.

3

Yes

Refer to the date of death line.

Date

Update the system with the death information.

Refer to Processing Reports of Death GN 02602.050.

Date blank

No action, unless the “Yes” block is checked. If the block is checked, develop for evidence of death. Refer to GN 02602.070 Procedure for Resolving Death Alerts and Exceptions.

No

No action needed. Go to Question 4.

4

Yes

Review 4A.

No

No action. Go to Question 5.

Blank

If the beneficiary states “yes” to the question but leaves the dates blank or incomplete, contact the beneficiary. Refer to Documentation of Efforts Taken To Obtain Evidence/Information VB 01503.215.

Chart

Review “From” and “To” dates that the beneficiary returned to the U.S. as suspension and reinstatement of payments, depending on the date they occurred.

See Details:

  • VB 01503.100 – Cessation of Residence Outside the United States (Loss of Foreign Residence).

  • VB 01503.110 – Beneficiary Reports Going To (or is in) the United States.

  • VB 01503.115 – Beneficiary is Not Relinquishing Foreign Residence or U.S. Visit Not Expected To Exceed 1 Full Calendar Month.

  • VB 01503.117 – Beneficiary's Return Abroad.

  • VB 01503.120 – Beneficiary is Relinquishing Foreign Residence or Expects U.S. Visit To Exceed 1 Full Calendar Month.

  • VB 01503.130 – Reinstatement-Foreign Residence Resumed

Chart

Blank – Contact the beneficiary if Question 4 is marked “Yes”.

Refer to Documentation of Efforts Taken To Obtain Evidence/Information VB 01503.215.

5

Yes

Go to date field.

Date

Review date of deportation. The suspension and reinstatement of payments depends on the date on which the event occurs.

Refer to:

Date

Blank – Contact the beneficiary and refer to Documentation of Efforts Taken To Obtain Evidence/Information VB 01503.215.

No

No action.

Blank

Contact the beneficiary and refer to Documentation of Efforts Taken To Obtain Evidence/Information VB 01503.215.

6

Yes

Go to Question 7.

No

Review the SSR. Contact the beneficiary if there is a discrepancy

Blank

Contact the beneficiary unless Question 7 is completed. Refer to Documentation of Efforts Taken To Obtain Evidence/Information VB 01503.215.

7

Chart

Review the SSR and evaluate with responses.

See Details:

Chart

Blank – Contact the beneficiary if Question 6 is marked “Yes.” Refer to Documentation of Efforts Taken To Obtain Evidence/Information VB 01503.215.

Remarks

Yes

Review this section for additional information or for further explanations to the other questions.

No

No follow-up needed.

Signature

Yes

No action.

No

Contact the beneficiary, as SSA requires a signature by the beneficiary or representative payee.

Refer to:

NOTE: If questions arise when reviewing the beneficiary’s responses, request additional evidence directly from the beneficiary or via an assistance request to the FSP, or the servicing FO, depending on the country of residence.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/1401701020
VB 01701.020 - Evaluation of Completed Form SSA-2010-F6 - 01/05/2016
Batch run: 01/05/2016
Rev:01/05/2016