We cannot allow your organization to collect a fee for serving as representative payee for Social Security and Supplemental Security Income beneficiaries. Your organization does not qualify to collect a fee for the following reason(s):

(1)

(2)

 

If You Disagree

If you disagree, you have 20 days from the date of this letter to request a review.

• •

  The request must be in writing and should be sent to us at the above address.

• •

  It should state that you disagree and believe that your organization should be allowed to collect a fee for representative payee services.

• •

  It should also give the reason(s) you disagree.

• •

  Please include any additional information you feel is important.

Individuals who did not act on your first request will review this issue again. Please allow 30 days for a response.

 

If You Have Any Questions

3765C

• •

  The FO will send this exhibit notice to organizations which have been denied authorization to collect a fee for services. Select the fill-in choice(s) which explains the reason a fee may not be authorized.

   

• •

  Fill-ins:

  1. (1) 

     Use one or more of the following choices as appropriate:

1. (2) 

   Add any other comments that apply to explain the denial.

• •

  Refer to NL00703.765 for 3765C text and fill-ins.

The FO will send this exhibit notice to explain the denial.