TN 115 (01-25)

NL 00703.294 Domestic-To-Foreign Change of Address — SSA-21 Not in File

Document Identifier for Aurora: E3294

A. Exhibit letter

As you requested, we have changed your mailing address in our records. Please review the updated address. Let us know if any information is missing or if you move again.

If you receive your check by mail, it may arrive later than scheduled due to the distance and special handling involved. If you receive benefits through direct deposit, we will continue to send your payments to your financial institution. 

What You Need To Do

Please complete (1) on the enclosed “Supplement to Claim of Persons Outside the United States.” We need this so we can decide if we can still pay you benefits while you are outside the United States. Please use the enclosed envelope to return the form to us.

Your benefits will be stopped if we do not receive the completed form within 60 days.

Your Benefits While You Are Outside the United States

Certain circumstances affect your benefits while you are outside the United States. For example:

  • We may not be able to pay you benefits if you are not a U.S. citizen and are outside the United States for more than 6 months.

  • If you are under full retirement age and work more than 45 hours in any month, you may not be eligible to receive benefits, no matter how much you earn.

  • Unless you are a U.S. citizen or a resident of the United States, Canada, Egypt, Germany, Ireland, Israel, Italy, Japan, Romania, Switzerland, or the United Kingdom, we must withhold a federal income tax from your benefits. If you are a citizen and a resident of India, all or part of your benefits can be exempt from this federal income tax if the benefits are based on federal, state, or local government employment. Let us know if you change your address again because it may change your tax liability.

We have enclosed a booklet to give you more information about circumstances that may affect your benefits while you are outside the United States. It also explains what you must report to us and how to report. Please read the booklet carefully.

Enclosures:

  • SSA Pub. No. 05-10137

  • Form SSA-21

  • Return Envelope

B. Requesting instructions

Send this notice when a beneficiary has moved outside the United States but the SSA-21 is not in file.

When preparing this notice, manually add UTI REF197 (the referral language we use in notices to foreign addresses) at the end of the notice. For information about UTI REF197, see NL 00725.375.

Fill-in:

  1. (1) 

    all the questions or the questions we have marked


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900703294
NL 00703.294 - Domestic-To-Foreign Change of Address — SSA-21 Not in File - 01/22/2025
Batch run: 01/22/2025
Rev:01/22/2025