It has been determined that (1) is under a disability within the meaning of the disability insurance provisions of
the Social Security Act. Therefore, benefit payments will be continued.
The claim will be reviewed from time to time to see if (2) is still eligible for benefits based on disability or blindness. When the claim is
reviewed, you will be contacted if there is any question as to whether (3) eligibility continues.
3567A
OR
3567B
Read the enclosed instructions for important information and events which affect the
payments of these benefits. You must notify the Social Security Administration promptly
when any one of these events occurs.
If You Disagree With The Decision
ALS020
If You Have Any Questions
CTDO - Domestic
3901D - Foreign
Enclosure:
SSA Pub. No. 05-10153