Your disability benefits have been stopped because (1) . We are withholding further benefits until we can study the facts and decide whether you are still entitled to disability benefits. We will let you know when this decision has been made and will tell you then whether benefits can be started again.

3901C

Use this notice when a CDB receiving benefits directly (no payee) is suspended because:

1. 1. 

   he/she has gone to work or,

2. 2. 

   his/her condition has improved or,

3. 3. 

   we have not received the requested information or,

4. 4. 

   whereabouts unknown

    

Fill-ins:

Refer to NL 00703.005E. for 3901C text.

Information for this letter will be shown on Form SSA-573. The name and address, if not given, can be taken from the latest Form SSA-3926-EP in file.