When a worker files an application for retirement benefits, obtain the following evidence:

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  Worker's date of birth; and

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  Worker's Luxembourg insurance number; and

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  Marital status, (if spouse's supplement is claimed); and

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  Family composition; and

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  Dates of birth of all family members; and

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  Age and relationship of child, disability status, and school attendance (if a child's supplement is claimed); and

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  Age, marriage and divorce, (if divorced spouse's benefit is claimed); and

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  Age and relationship of parent, (if parent's or spouse's parent's supplement is claimed); and

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  Disability status of all family members.

When a person files an application for survivors benefits, obtain the following evidence:

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  Worker's Luxembourg insurance number; and

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  Worker's date of birth and death; and

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  Date of marriage or partnership registration (if surviving spouse/divorced spouse or surviving registered/dissolved registered partner's benefit claim); and

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  Marriage and divorce or legal separation of partnership, (if a divorced surviving spouse's benefit is claimed); or

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  Age and disability status of child or grandchild, (if a child's benefits claimed).

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  Surviving spouse's age and disability status; and

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  Age or disability status of parents or grandparents (including spouse's parents or grandparents).

Entitlement factors for Luxembourg are based on the degree of the worker's disability.

Take the following actions when developing evidence to support applications for Luxembourg benefits:

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  Worker's date of birth; and

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  Worker's Luxembourg insurance number; and

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  Degree of disability (medical evidence required).

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  Marriage, (if spouse's supplement is claimed); and

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  Age, marriage and divorce, (if divorced spouse's benefit is claimed); and

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  Age and relationship of child, (if child's supplement is claimed); and

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  Age and relationship of parent, (if parent's or spouse's parent's supplement is claimed).

If the applicant requests guidance on the type of evidence to submit, see these references:

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  GN 00302.000, Proof of age.

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  GN 00304.000, Proof of death.

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  GN 00305.000, Proof of marital relationship.

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  GN 00306.000, Child relationship and dependency.

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  RS 00205.350B1., Proof of school attendance.

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  RS 01301.000, Living with, contributions and one-half support.

The applicant must submit the evidence noted in GN 01702.200 - GN 01702.230 whenever Totalization benefits are claimed from Luxembourg.

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  SSA accepts any medical evidence the applicant wishes to submit; and

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  If the applicant does not want to release an original document, photocopy the evidence and certify the copy (see GN 00301.105); and

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  Do not attempt to secure evidence for the applicant or offer advice as to what types of evidence Luxembourg may need.

Send all submitted medical evidence to the Office of International Operations (OEIO)/Division of International Operations (DIO) at the following addresses:

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  Complete the Modernized Development Worksheet (MDW) screen to show the date the FO sent the Luxembourg claim to OEIO. Show "Totalization" as the ISSUE; and

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  Inform the applicant that the responsible Luxembourg agency will contact them directly to obtain evidence needed to make a determination.

  CAUTION: Do not hold claims for Luxembourg benefits for prolonged periods pending receipt of evidence. If an applicant is unable to obtain needed evidence within a reasonable time, transmit the claim to the OEIO/DIO without the evidence. Advise the applicant that the responsible Luxembourg agency will contact them directly to obtain any needed evidence.

Document the file as follows:

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  Indicate on the Luxembourg benefit claim file any factor of entitlement verified previously for a U.S. claim; and

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  For concurrent Title II claims, send the Title II claim and relevant evidence to the Program Service Center (PSC) of jurisdiction; and

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  Electronically send a certified photocopy of the relevant evidence with the Luxembourg claim to OEIO/DIO.

Obtain NH's U.S. earnings record for all claims for Luxembourg benefits as follows.

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  When the applicant is filing for both U.S. and Luxembourg benefits, complete the modernized claims system (MCS) screens; and

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  The MCS screens will automatically generates a separate earnings record for the Luxembourg claim; and

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  When an applicant files for Luxembourg benefits only, which is an MCS exclusion, request an Informational/Certified Earnings Record (ICERS) per MS ICER 02101.004; and

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  Obtain proof of lag earnings (unposted paid earnings in the current and preceding year) if the applicant alleges U.S. covered work in the lag period and is filing for any Luxembourg benefits; and

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  For proof of lag wages, see RS 01404.005 and RS 01404.018; and

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  For proof of lag self-employment income, see RS 01804.100D.

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  Accept any medical evidence the applicant wishes to submit when the application is for Luxembourg benefits only. Do not attempt to secure evidence for the applicant or offer advice as to what types of evidence Luxembourg need; and

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  Send all submitted medical evidence and the claims file to OEIO at the following address:

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  Complete the Modernized Development Worksheet (MDW) screen to show the date the FO sent the Luxembourg claim to DIO. Show "Totalization" as the ISSUE.

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  Transmit the file without medical evidence if the evidence is not readily available. Advise the applicant that the Luxembourg agency will contact them directly to obtain any required evidence.

To process claims for Luxembourg disability benefits and concurrent Title II disability claims, follow the instructions in GN 01702.400 - GN 01702.415.