G52
|
We are writing to give you new information about the (Comp. Gen.) benefits which (Comp. Gen.) on this Social Security record.
|
Your Benefits
|
|
|
(Refer to system-generated fill-ins in NL 00703.813B)
|
3813A
|
In an earlier letter, we told you we were withholding your Social Security benefits
for (1). We did this because we thought we might have to reduce your Social Security benefits
if you also received Supplemental Security Income (SSI) money for this period.
|
|
Now we are writing to let you know that we cannot pay you (2) of the Social Security benefits we withheld. This is because you received SSI money
for (3) .
|
|
When you receive SSI money for a month, and later you receive Social Security benefits,
we sometimes have to reduce your Social Security benefits. We do this to make sure
that your total SSI and Social Security monthly payment is not more than it would
have been if the Social Security benefits had been paid on time.
|
|
Your past-due Social Security benefits are $ (4) for (5) . We usually withhold 25 percent of past-due benefits to pay a lawyer's fee. We withheld
$ (6) from your past-due benefits to pay your lawyer. We are deducting (7) from the $ (8) in the benefits due for (9) . That leaves $ (10).
|
What We Will Pay
|
|
|
Allowing for your Social Security benefits, we should have paid you $ (11) less in SSI money. We have to take this out of the $ (12).
|
Information About Lawyer's or Representative's Fees
|
|
G16
|
-
•
The next check you receive will be for $ (Comp. Gen.) , which is the money you are due through (Comp. Gen.) .
-
•
After that you will receive $ (Comp. Gen.) each month.
(Refer to system-generated fill-ins in section B below)
|
(Optional) 3813B
|
If your lawyer wants to charge a fee for his or her services, he or she must ask us
in writing to approve the amount of the fee. Your lawyer must give you a copy of his
or her fee request and each attachment to the request. If your lawyer does not want
to charge a fee, he or she should tell us.
If your lawyer wants us to pay the fee from your withheld benefits, he or she should
ask us to approve the fee within 60 days of the date of this letter. If your lawyer:
-
•
is finished working on this case and wants to charge a fee, he or she should ask us
to approve the amount of the fee right away.
-
•
is not finished working on this case and wants to charge a fee, he or she should tell
us within 60 days of the date of this letter that he or she will ask for a fee.
-
•
does not want to charge a fee or does not want us to pay the fee from the benefits
we withheld, he or she should tell us right away.
|
OR (Optional) 3813C
|
We told you in another letter that (1) lawyer could charge you no more than $ (2), under the fee agreement, for his or her work on your Social Security claim. We also
explained your right to review the amount of the fee.
|
|
Because no one asked us to review the amount of the fee, we are paying the lawyer
$ (3) . This means we are paying the lawyer in full for the work on your Social Security
claim.
|
OR 3813D
|
We have approved a fee of $ (1) to pay your lawyer for the work on your Social Security claim. We explained this fee,
and your right to question it, in an earlier letter.
|
|
We are sending your lawyer the fee from the money we withheld. This means we have
paid your lawyer in full for the work done on your claim.
|
OR 3813E
|
We have approved a fee of $ (1) to pay your lawyer for the work on your Social Security claim. We explained this fee,
and your right to question it, in an earlier letter.
|
Your SSI Payments May Change
|
|
|
We withheld $ (2) from your benefits, and we are sending this money to your lawyer. But this does not
cover the entire fee. You and your lawyer will need to decide how to settle the additional
$ (3) you owe.
|
3816D
|
Please contact us to find out if we can pay (1) more Supplemental Security Income (SSI) money. We can subtract the fee we paid to (2) representative from the income we count to figure (3) SSI payment. When we subtract the fee, we might be able to pay (4) more money.
|
G11
|
|
G20
|
|
C24
|
We are sending a copy of this letter to (1) .
|