TN 20 (04-19)

NL 00705.735 Claimant Call-in Letter - Sample

                                                                                             **BARCODE**

       

AGENCY
LETTERHEAD

         

        

                                                                           Date: _______________

                                                                          Case ID: ____________

Addressee Name

Address Line 1

Address Line 2

City, State, Zip code

    

     

Dear (First Name) (Last name):

                       

We are the office that makes disability decisions for the Social Security Administration. We need to speak with you within 10 days of the date on this letter about the matter below:

 

(List matter(s) here)

 

Please call the phone number shown below

If you do not respond to this letter by (date), we may decide your case based on the information we already have. This means that we may find that you are not disabled or, if you are already receiving benefits, that your disability has ended and your benefits may stop.

Thank you for your help.

 

(Name)

Disability Examiner

 

(XXX) XXX-XXX

Toll Free: 1-800-XXX-XXXX, extension XXXX

 

cc: