We need information from you to decide if you should still receive checks while you
are outside the U.S.
Our records show you left the U.S. in (1) . When you live outside the U.S. for more than 6 months, you need to have your checks
sent to your foreign address and you need to report certain events. For this reason,
we need some information from you.
What You Need To Do
To help you give us the information we need, we have enclosed two forms. Please complete
both forms and return them in the enclosed envelope. Be sure to put a stamp on the
envelope.
If we do not receive the completed forms within 60 days of the date of this letter,
we will stop your checks. We will send you another letter at that time with more information
about our actions.
If You Have Any Questions
3901D
Enclosures:
Form SSA-21
SSA-7162-OCR-SM
Envelope