Refer to Form SSA-833 for completing the name, address and claim number. This notice
will be designated in the LTR/PAR NO. block of Form SSA-833-U5. This notice will be
shown followed by the block number(s) to be checked; the appropriate fill-in for the
block, enclosed in parentheses. (E.g., L1014-1 (9-77), 2(6)). Any additional paragraphs,
if applicable, will also be shown.