We are writing to tell you that we plan to change (1) Social Security benefit amount. Although (2) not receiving regular monthly benefits now, (3) will receive a reduced amount if (4) benefits start again.

 

Why We Are Changing The Benefit Amount

When we first figured (5) Social Security benefit amount we used (6) railroad earnings. However, we recently matched computer records with the Railroad Retirement Board and learned that they lowered (7) railroad earnings. Because of this, we had to refigure (8) Social Security benefit using the lower railroad earnings. This reduces (9) Social Security benefit.

 

What You Can Do

Please let us know right away if any of this information is wrong. We cannot use this information to change Social Security benefits until we give you time to check it. You will also need to give us any proof you have that shows that our information is wrong.

 

If We Do Not Hear From You

If we do not hear from you within 30 days from the date of this letter, we will assume the information in this letter is correct and use it to reduce (10) benefits.

We will send another letter at that time. It will explain the change in benefits, the amount of any overpayment, and how to appeal our decision.

• •

  You will have 60 days to ask for an appeal.

• •

  The 60 days will start the day after you receive the next letter.

   

If You Have Any Questions

3901C - Domestic

3901D - Foreign

The PC will send this notice to a beneficiary in deferred or suspense status whose benefits will be reduced because RR earnings have been lowered.

 

Refer to NL 00703.005E. for 3901C and 3901D text and fill-ins.

 

Fill-ins:

1. (1) 

   your/beneficiary full name, possessive/the children's

2. (2) 

   you are/he is/she is/they are

3. (3) 

   you/he/she/they

4. (4) 

   your/his/her/their

5. (5) 

   your/beneficiary's title and surname, possessive/child's first name, possessive (if one child beneficiary)/the children's Q

6. (6) 

   * your/his/her/railroad worker's full name, possessive

7. (7) 

   * your/his/her

8. (8) 

   your/beneficiary's title and surname, possessive/child's first name, possessive (if one child beneficiary)/the children's

9. (9) 

   your/his/her/their

10. (10) 

    your/beneficiary's title and surname, possessive/child's first name, possessive (if one child beneficiary)/the children's

* Fill-ins 6 and 7 refer only to the NH.

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