TN 15 (08-20)

NL 00720.215 MIS Miscellaneous

MISINFORMATION ESTABLISHED (B75)

(Requested)

Caption: Your Benefits

You filed an application for benefits  (1)  on  (2)  . You said  (3)  did not file earlier because we gave misinformation on  (4)  . We can give  (5)  an earlier filing date if:

  •  (6)  did not file for benefits before  (7)  because we misinformed  (8)  about  (9)  eligibility for these benefits, and

  •  (10)  did not get benefits  (11)  could have.

We looked at the facts and found that we did misinform  (12)  . Therefore,  (13)  correct filing date is  (14)  . The beginning date for  (15)  benefits is based on this date. This is the earliest date  (16)  entitled to benefits.


Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: for plus Beneficiary's full name
Choice 2: null
Fill-in (2) - Requested As A Date In Format MM/DD/CCYY
Choice 1: Show the date of filing in MM/DD/CCYY format
Fill-in (3) - Systems Generated
Choice 1: you
Choice 2: Beneficiary's full name
Fill-in (4) - Requested As A Date In Format MM/DD/CCYY
Choice 1: Show the date of alleged misinformation in MM/DD/CCYY
Fill-in (5) - Systems Generated
Choice 1:Beneficiary's full name
Choice 2: you
Fill-in (6) - Systems Generated
Choice 1: Beneficiary’s full name
Choice 2: you
Fill-in (7) - Systems Generated
Choice 1: Show the date of filing in MM/DD/CCYY format
Fill-in (8) - Systems Generated
Choice 1: you
Choice 2: him
Choice 3: her
Fill-in (9) - Systems Generated
Choice 1: your
Choice 2: Beneficiary's full name possessive
Fill-in (10) - Systems Generated
Choice 1: you
Choice 2: he
Choice 3: she
Fill-in (11) - Systems Generated
Choice 1: you
Choice 2: he
Choice 3: she
Fill-in (12) - Systems Generated
Choice 1: you
Choice 2: Beneficiary's full name
Fill-in (13) - Systems Generated
Choice 1: your
Choice 2: Beneficiary's full name
Fill-in (14) - Requested As A Date In Format Shown Below
Choice 1: Show the date of deemed filing in MM/DD/CCYY
Fill-in (15) - Systems Generated
Choice 1:your
Choice 2: his
Choice 3: her
Fill-in (16) - Systems Generated
Choice 1: you are.
Choice 2: he is
Choice 3: she is

MISINFORMATION DETERMINATION PENDING OR NOT ESTABLISHED (B76)

(Requested)

Caption: Your Benefits

You filed an application for benefits  (1)  on  (2)  . You said  (3)  did not file earlier because we gave misinformation on  (4)  . We can give  (5)  an earlier filing date if:

  •  (6)  did not file for benefits before  (7)  because we misinformed  (8)  about  (9)  eligibility for these benefits, and

  •  (10)  did not get benefits  (11)  could have.


Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: for + beneficiary Name
Choice 2: null
Fill-in (2) - Requested As A Date In Format Shown Below
Choice 1: date of filing MM/DD/CCYY
Fill-in (3) - Systems Generated
Choice 1: beneficiary name
Choice 2: you
Fill-in (4) - Requested As A Date In Format Shown Below
Choice 1: date of alleged misinformation MM/DD/CCYY
Fill-in (5) - Systems Generated
Choice 1: beneficiary Name
Choice 2: you
Fill-in (6) - Systems Generated
Choice 1: beneficiary Name
Choice 2: you
Fill-in (7) - Systems Generated
Choice 1: date of filing MM/CCYY
Fill-in (8) - Systems Generated
Choice 1: him
Choice 2: her
Choice 3: you
Fill-in (9) - Systems Generated
Choice 1: your
Choice 2: Name possessive
Fill-in (10) - Systems Generated
Choice 1: he
Choice 2: she
Choice 3: you
Fill-in (11) - Systems Generated
Choice 1: he
Choice 2: she
Choice 3: you

MISINFORMATION ESTABLISHED BEFORE EFFECTIVE DATE OF LAW (B77)

(Requested)

Caption: Your Benefits

You filed an application for benefits  (1)  on  (2)  . We can give  (3)  an earlier filing date if:

  •  (4)  did not file for these benefits before  (5)  because we misinformed  (6)  about  (7)  eligibility for these benefits, and

  •  (8)  did not get benefits  (9)  could have.

    You said  (10)  did not file earlier because we gave misinformation on  (11)  . The law allows us to give  (12)  an earlier filing date if we misinformed  (13)  on or after January 1, 1983. Since you said we gave the misinformation before January 1, 1983, we are sorry but we cannot give  (14)  an earlier filing date.


Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: Beneficiary's Name
Choice 2: null
Fill-in (2) - Requested As A Date In Format MM/DD/CCYY
Choice 1: date of filing
Fill-in (3) - Systems Generated
Choice 1: Name
Choice 2: you
Fill-in (4) - Requested As A One Position Alpha Character
Choice A: you
Choice B: the person who acted for you
Choice C: the person who acted for + Benename
Fill-in (5) - Requested As A Date In Format MM/DD/CCYY
Choice 1: date of filing
Fill-in (6) - Systems Generated
Choice 1: him
Choice 2: her
Choice 3: you
Fill-in (7) - Systems Generated
Choice 1: your
Choice 2: Name (possessive)
Fill-in (8) - Systems Generated
Choice 1: he
Choice 2: she
Choice 3: you
Fill-in (9) - Systems Generated
Choice 1: he
Choice 2: she
Choice 3: you
Fill-in (10) - Systems Generated
Choice 1: see comments
Fill-in (11) - Requested As A Date In Format MM/DD/CCYY
Choice 1: date of alleged misinformation
Fill-in (12) - Systems Generated
Choice 1: Name
Choice 2: you
Fill-in (13) - Systems Generated
Choice 1: him
Choice 2: her
Choice 3: you
Fill-in (14) - Systems Generated
Choice 1: him
Choice 2: her
Choice 3: you

To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900720215
NL 00720.215 - MIS Miscellaneous - 08/05/2020
Batch run: 08/05/2020
Rev:08/05/2020