AWD010 PIC “D” AWARD BETWEEN AGE 62 AND FULL RETIREMENT AGE (G05)

(Generated)

Caption: Other Social Security Benefits

Please get in touch with us 3 months before  (1)   (2)   (3)  to find out whether  (4)  for retirement benefits.

AWD011 OPENING PARAGRAPH FOR OTHER THAN “PIC-O” AWARDS IN “LAF-S” (OTHER THAN SD) (G09)

(System Generated)

Caption: None

We are writing to let you know that we have approved  (1)  application for  (2)  benefits. The rate is  (3)  beginning  (4)  , but  (5)  will not receive regular monthly checks at this time.

AWD012 INTRODUCTORY STATEMENT CHANGE OF PAYEE AWARD BENEFICIARY OWN PAYEE (G48)

(System Generated)

Caption: None

We are writing to tell  (1)  that beginning  (2)  we will begin to send  (3)  checks directly. The rest of this letter will give  (4)  more information about this change.

AWD013 INTRODUCTORY STATEMENT AWARDS (EXCEPT “PIC-O” OR “LAF-S") (G49)

(System Generated)

Caption: None

We are writing to let you know that  (1)  entitled to monthly  (2)  benefits from Social Security beginning  (3)  .

AWD014 MBA Paragraph (B30)

(Requested/Generated)

Caption: Your Benefits

The following chart shows  (1)  benefit amount(s) before any deductions or rounding. The amount  (2)  may differ from  (3)  full benefit amount. When we figure how much to pay  (4)  , we must deduct certain amounts, such as Medicare premiums and worker's compensation offset. We must also round down to the nearest dollar.

Beginning Benefit

Date Amount Reason

 (5)   (6)   (7) 

NOTE: This UTI is flexible, to allow multiple repetitions of the three fill-ins. This allows it to be used once, and provide as many benefit amount, dates and reasons as are needed to explain the action, or more than once with the benefit amount, date and reason. An example of how to input this in the ENB is:

C*AWD014,12/2012,848.70,a,01/2013,871.90,a,12/2013,885.00,a. OR
C*AWD014,07/2013,910.40,a*AWD017,12/2013,924.10,a*AWD014,01/2014,925.10,a.

AWD015 (B30 and B33 Detail Line)

(System Generated)

Caption: Your Benefits

(1) (2) (3)

1. (1) 

    (1)   (2) 

AWD016 MBA Paragraph (B33)

(Requested)

Caption: Your Benefits

The following charts show  (1)  disability benefit amount(s) before any deductions or rounding. The first chart shows the amount(s) on  (2)  own record and the second chart shows  (3)  benefit amount(s) as a childhood disability beneficiary. The amount  (4)  may differ from  (5)  full benefit amount. When we figure how much to pay  (6)  , we must deduct certain amounts, such as Medicare premiums and worker's compensation offset. We must also round down to the nearest dollar.

Beginning Benefit

Date Amount Reason

 (7)   (8)   (9) 

NOTE: This UTI is flexible, to allow multiple repetitions of the three fill-ins. This allows it to be used once, and provide as many benefit amount, dates and reasons as are needed to explain the action, or more than once with the benefit amount, date and reason. An example of how to input this in the ENB is:

C*AWD016,12/2012,848.70,a,01/2013,871.90,a,12/2013,885.00,a. OR
C*AWD016,07/2013,910.40,a*AWD016,12/2013,924.10,a*AWD0167,01/2014,925.10,a.

AWD017 NEW RATE(S) AND EFFECTIVE DATE(S) DISPLAY DUAL ENTITLEMENT (B64)

(Requested)

Caption: Your Benefits

The following are  (1)  new benefit rates:

Beginning Rate On Rate On

Date This Record The Other Record

 (2)   (3)   (4) 

NOTE: This UTI is flexible, to allow multiple repetitions of the three fill-ins. This allows it to be used once, and provide as many benefit amount, dates and reasons as are needed to explain the action, or more than once with the benefit amount, date and reason. An example of how to input this in the ENB is:

C*AWD017,12/2012,848.00,164.00,01/2013,871.00,138.00,12/2013,885.00,140.00. OR
C*AWD017,07/2013,910.00,42.00*AWD017,12/2013,924.00,43.20*AWD017,01/2014,925.00,42.00.