TN 31 (09-25)

NL 00705.740 Third Party Call In Letter

A. Third party call in letter

AGENCY LETTERHEAD

Date: [Fill-in]

Case ID: [Fill-in]

 

Addressee Name

Address Line 1

Address Line 2

City, State, Zip code  

     

THIRD PARTY CALL IN LETTER

 

We are the office that makes disability decisions for the Social Security Administration. [Claimant full name] identified you as someone we could contact for assistance.

If addressed to appointed representative:

It is very important that we speak to you. If you do not respond by [10 calendar days], we may decide [Claimant full name]'s case based on the information we already have in file. This means that we could find that he/she is not disabled based on our rules or that his/her disability has ended if he/she is already getting benefits.

If addressed to third party:

It is very important that we speak to you by [10 calendar days]. We are attempting to assist [Claimant full name] with his/her case. If we are not able to speak with you in a timely manner, we may not have enough information to make a determination on his/her case and may have to make a finding of not disabled because of insufficient evidence.

[Free form text]

Please call the phone number(s) shown below Monday-Friday between [DDS office open] and [DDS office close]. When you call or leave a message, please provide the Case ID: [case ID number], your name, [Claimant full name]'s name, and a call back number.

Thank you for your help.

[Name]

[Phone Number]

[Fax Number]

 

Enclosure:

Multi-Language Insert (if enclosed)

cc:

B. References

  • DI 22505.014: Requesting Evidence or Action from the Claimant of Third Party

  • DI 22510.016: Claimant Consultative Examination (CE) Notice and Confirmation Procedures

  • DI 22510.019: Consultative Examination (CE) Appointment Notice Follow Up and Reminder

  • DI 23007.005: Contacting the Claimant, Appointed Representative, or Third Party in Claims Involving Failure to Cooperate and Insufficient Evidence

  • DI 23007.010: A Reasonable Effort to Identify and Involve a Third Party in Claims Involving Failure to Cooperate and Insufficient Evidence

  • GN 03316.005: Disclosure Without Consent to Administer Social Security Administration (SSA) Programs


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900705740
NL 00705.740 - Third Party Call In Letter - 09/24/2025
Batch run: 09/24/2025
Rev:09/24/2025