TN 41 (07-24)

DI 26510.090 Completing SSA-831(Disability Determination and Transmittal) Signature Information, Items 30-33

To view Form SSA-831, see DI 26510.001B. 

A. Electronic completion of items 30-33

Items 30-33 “Document additional information in a Case Note in the Disability Case Processing System (DCPS), or on the Case Development Worksheet (CDW)

NOTE: 

For electronic processing instructions, see “Electronic Case Closure” in DI 81020.130. Determination forms prepared electronically using a case processing system with approved electronic signatures do not require a “wet” signature.

 

B. Completing items 30-31 disability examiner signature information

Enter the following:

Item 30 - disability examiner signature

Item 31 - date disability examiner signed the determination

C. Completing items 32-33 medical or psychological consultant (MC or PC) signature information

If the case contains no medical evidence, leave items 32-33 blank.

In all other cases, enter the following:

  • Item 32 –the name and the date of the medical assessment form containing the medical evaluation (For example, “RFC dated MM-DD-YYYY”).

  • Item 32A - name of the MC or PC who signed the medical assessment form containing the medical evaluation.

  • Item 32B - the medical specialty code of the MC or PC who completed the medical assessment form containing the medical evaluation. (For medical specialty codes, see DI 24501.004.)

    NOTE: For electronic processing, the medical specialty code propagates from the disability determination services case processing system.

  • Item 33 - date the MC or PC signed the medical assessment form containing the medical evaluation.

IMPORTANT: 

If there are multiple medical assessment forms, the MC or PC with the overall responsibility for the medical evaluation signs the SSA-831. For policy explaining who has overall responsibility for the medical evaluation, see DI 24501.001.

 


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0426510090
DI 26510.090 - Completing SSA-831(Disability Determination and Transmittal) Signature Information, Items 30-33 - 07/22/2024
Batch run: 07/22/2024
Rev:07/22/2024