Effective Dates: 02/17/2021 - Present Previous | Next

TN 18 (02-21)

NL 00701.001 Usage Chart for RSDI Authorization and General Use Form Notices

A. Relationship/Dependency

Situation/Heading Form Notices POMS Section
Determination of One-Half Support (at time N/H's disability began)—Disapproval SSA-L51 NL 00701.024

B. RIB disapproval

Situation/Heading Form Notice POMS Section
RIB Disapproval—Lack of Insured Status SSA-L1221 NL 00701.615
RIB Disapproval—Lack of Insured Status—Date of Birth Not Established SSA-L1222 NL 00701.620
RIB Disapproval—Not Retirement Age SSA-L1223 NL 00701.625
RIB Disapproval—Not Yet Retirement Age SSA-L1224 NL 00701.630

C. Miscellaneous disapprovals

Situation/Usage Form Notice POMS Section
Auxiliary Disapproved—N/H Not Entitled SSA-L223 NL 00701.036
Auxiliary Disapproved—NH Not Entitled (Disability Cases) SSA-L823 NL 00701.354
Disapproval—Miscellaneous Fill-In Letter SSA-L829 NL 00703.905
Disapproval—Miscellaneous Fill-In Letter (Disability Cases) SSA-L829 NL 00701.360

D. Lump sum death payment

Situation/Heading Form Notice POMS Section
Lump Sum Approval SSA-1064-C1 NL 00701.600

E. Miscellaneous form notices

Situation/Usage Form Notice POMS Section
Approval of Withdrawal SSA-L250 NL 00701.093
Approval of Withdrawal (Disability) SSA-L850 NL 00701.387
To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900701001
NL 00701.001 - Usage Chart for RSDI Authorization and General Use Form Notices - 02/17/2021
Batch run: 02/17/2021
Rev:02/17/2021