TN 37 (12-21)
EXAMPLE 1: THIRD PARTY COVER LETTER
Social Security Administration
Retirement, Survivors, and Disability
Insurance
Important Information
Miscellaneous Program Service Center
225 E. Oak Street
Central City, ST 00000
Date:
BNC: 21MS123J45678-A
JANE ATTORNEY
10 CENTER AVENUE
ANYTOWN, ST 00001
Enclosed is a copy of the letter we sent to JOHN G. BENEFICIARY.
If You Have Any Questions
If you have any questions, you may call us at 1-800-2345-SSA. We can answer most questions
over the phone. You can also write any Social Security office. The office that serves
your area is located at:
Street address
City, State
Zip
If you do call or visit an office, please have this letter with you. It will help
us answer your questions. Also, if you plan to visit an office, you may call ahead
to make an appointment at the office. This will help us serve you more quickly when
you arrive at the office.
Social
Security Administration
Enclosure:
EXAMPLE 2: ADMINISTRATIVE LAW JUDGE (ALJ) COVER LETTER
Social Security Administration
Retirement, Survivors, and Disability
Insurance
Important Information
Miscellaneous Program Service Center
225 E. Oak Street
Central City, ST 00000
Date:
BNC: 21MS123J45678-A
ALJ NAME
STREET ADDRESS
ANYTOWN, ST 00001
Enclosed is a copy of the letter we sent to (CL NAME).
Enclosure(s):
Letter to (CL-NAME)