We are writing to tell you that we are stopping your checks beginning (1) , because we need to find out whether the Railroad Retirement Board (RRB) will be paying your checks from now on.

Our records show that (2) worked for the railroad industry. The RRB may be able to pay you because of (3) railroad employment. We are contacting them so that we can decide which office will pay you. We will let you know as soon as the decision is made.

If You Have Any Questions

3901C - Domestic

3901D - Foreign

When a survivor beneficiary has been properly placed in S9 status pending receipt of a jurisdiction determination from RRB, a special notice should be sent to the suspended survivor beneficiary explaining the reason for the delay in receipt of payment.

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  Refer to NL 00703.005E for text and fill-ins.

   

Fill-ins:

1. (1) 

   month/year

2. (2) 

   full name of deceased individual

3. (3) 

   his, her

Use Form SSA-L2000-C2 (Universal Notice) and follow the notice standards. Information for this notice will be shown on Form SSA-573.