If the criteria are not met, do not process the form. Follow existing policy to dispose
of the form, notify the submitter the form cannot be accepted, and explain why the
criteria are not met. Follow existing procedures to obtain a policy-compliant signature.
To notify the submitter that the form cannot be accepted, the field office or payment
center will send the following notice:
[Submitter's Name]
[Submitter's Address]
We cannot accept your form(s) because the signer’s signature on [*F1 or *F2] does
not meet the commercial product alternative signature (CPAS) requirements described
in DI 11005.017 “Commercial Product Alternative Signature Process for Certain Forms and Writings.”
Specifically, your [*F3 or *F4 or *F5 or *F6].
Please resubmit [*F1 or *F2] ensuring that our signature requirements are met.
REF C01
REF167
Fill-ins:
*F1: Form SSA-XXXX
*F2: Your forms
*F3: Form is not approved for commercial product alternative signature under DI 11005.017.
*F4: Form is missing required information (i.e., date and/or time) and it is not accompanied
by an appended signature certificate page that includes this information.
*F5: Submission includes one or more forms that did not include all the required information
(i.e., date and/or time) and each was not accompanied by an appended signature certificate
page that included this information.
*F6: Submission includes one or more forms that are missing the required information
(i.e., date and/or time), and only includes one appended signature certificate page,
thus disqualifying the entire submission from being accepted. Note that each form
missing this information must be accompanied by an appended signature certificate
page that contains this information.