TN 31 (02-97)

NL 00703.771 Representative Payee — Notice to Beneficiary or Person Standing in Place of Beneficiary About Revocation of Fee

Document Identifier for Word Processor: E3771

A. Exhibit Letter

We are writing to let you know that (1) can no longer collect a fee from (2) monthly benefits for serving as (3) representative payee. If they were collecting a fee, they must stop doing so after (4) .

 

If You Have Any Questions

3765C

B. Requesting Instructions

  • The FO will send this notice when the representative payee's authorization to collect a fee has been revoked.

  • Show the title of the officer and the name of the institution or entity. Do not show the name of such officer.

  • Refer to NL 00703.765 for 3765C text and fill-ins.

     

Fill-ins:

  1. 1. 

    name of representative payee

  2. 2. 

    your, name of beneficiary (possessive)

  3. 3. 

    your, his, her

  4. 4. 

    the last month/year in which the organization is permitted to collect a fee from this beneficiary.

C. Typing Instructions

The FO will send this notice. It may be reproduced on FO letterhead.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900703771
NL 00703.771 - Representative Payee — Notice to Beneficiary or Person Standing in Place of Beneficiary About Revocation of Fee - 02/18/1997
Batch run: 04/25/2016
Rev:02/18/1997