HI 00825.909 Transmittal Used by OCRO to Forward Earnings Statements to PSC

From :                                              PSC

ATTN : Health Insurance and Inquiries Examiner

From : OCRO                                           

The enclosed earnings statement is forwarded for your examination and action because

□The request includes a question that can be answered only from data in the claims folder.

□Our records indicate that the individual whose earnings record is involved is deceased. Furnish data only if permitted by Reg. No. 1.

□Other:                                                

 

 

 

 

PLEASE EXPEDITE