TN 19 (09-22)
NL 00701.425 Form SSA-L1013 — DIB Continuance — Title II
For the latest version of the Form SSA-L1013, see DI 13095.155.
Preparation of form
Refer to the Form SSA-833 (Cessation or Continuance of Disability or Blindness Determination
and Transmittal - Title II) for completing the name, address and case or BNC (Beneficiary
Notice Control) number. This notice will be designated in the LTR/PAR NO. block of
the Form SSA-833. The notice will be shown followed by the block number(s) to be checked;
the appropriate fill-in for the block, enclosed in parentheses. (for example, L1013-1
(8 /82), 2(6)). Any additional paragraphs, if applicable, will also be shown.
NOTE:When completing the Form SSA-L1013, the disability determination office (DDS) will
use the case number and the field office (FO) will use the BNC.