If the disability examiner indicates this notice on Form SSA-3428-U2 or SSA-831-U5,
            use Form SSA-L829.
         
         Fill-ins:
         
            - 
               
                  (1)  
                     for child benefits, the next sentence should be “Your claim for” and type the complete name of the child. If there are several children, each child
                        will get a notice.
                      
 
 
- 
               
                  (2)  
                     type any additional paragraphs indicated in this space.