Enter in Item 5 (Remarks section) of the SSA-3367 the following applicable remark:
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•
PRISONER CASE – Felony committed on or before October 19, 1980 – claimant convicted
and confined.
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•
PRISONER CASE – Felony committed after October 19, 1980 – claimant convicted and confined.
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•
PRISONER CASE – Felony committed after October 19, 1980 – claimant convicted but not
confined.
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•
PRISONER CASE – Possible felony committed after October 19, 1980 – (trial pending).
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•
PRISONER CASE – Possible felony committed on or before October 19, 1980 – (trial pending).
In addition, if the claimant is confined to jail, prison, or other penal institution
or correctional facility for conviction of a felony committed on or before October
19, 1980, alert the DDS or other adjudicating component that the felony conviction
is not relevant to the disability determination. However, be sure to document Item
5 of the SSA-3367: “Prisoner Case – Felony committed on or before October 19, 1980
– Claimant convicted and confined.”