You recently requested that we reschedule two important appointments. I am writing to confirm the dates we set.

Some Important Dates

We have rescheduled the time for you to review your file. You can do this on (1) at (2) in this office. I will make sure that someone is available to help you when you come in for this review.

We have rescheduled your personal conference for (3) at (4) in this office. You will meet with (5) on that day.

What Happens At a Personal Conference

At the personal conference, we will discuss your waiver request. Remember at the conference you can do the following things.

• •

  You can have a lawyer, friend or someone else help you with your case.

• •

  You can bring other people to help explain your case.

• •

  You can review your file again, and add any new facts you have.

• •

  You can question the facts we have and the people who gave them.

You need to show us proof of your monthly income, expenses, and assets. Examples are pay stubs, pension records, rent receipts, utility bills, and bank statements.

If You Have Any Questions

If you have any questions, please call (5) at the telephone number shown on page 1.

Fill-ins:

1. (1) 

   date of rescheduled folder review

2. (2) 

   time of rescheduled folder review

3. (3) 

   date of rescheduled personal conference

4. (4) 

   time of rescheduled personal conference

5. (5) 

   name of interviewer

Use Form SSA-L2000-C2 (Universal Notice) and follow the notice standards. Because the requested fill-ins and paragraphs may vary according to different situations, follow the requester's instructions carefully.