TN 13 (07-11)
SI 02101.110 SSI Underpayment Case Control Log Exhibit
The exhibit below is an example of a case control log for the underpayment review
process.
UNDERPAYMENT CASE CONTROL LOG
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Name
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SSN
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Date to Reviewer
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Returned for Development
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Development Completed
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Name of Reviewer
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Review Completed
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Date of Input
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Date of Payment
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Comments
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