TN 6 (07-16)
SUS001 CURRENTLY SUSPENDED (202(T) Exception Code) (S05)
(Requested)
Caption: Your Benefits
We cannot pay (1) benefits (2) (3) because (4) not a citizen of the United States and (5) been living outside the country for more than 6 months. Please read the enclosed
pamphlet, "Your Social Security Checks -- While You are Outside the United States,"
for more information about this.
Fill-in values:
Fill-in (1) Systems Generated
Choice 1: Beneficiary's Name
Choice 2: you
Fill-in (2) Requested As A One Position Alpha Character
Choice 1: (A) beginning
Choice 2: (B) null
Fill-in (3) Requested As A One Position Alpha Character
Choice 1: (A) month and year
Choice 2: (B) null
Fill-in (4) Systems Generated
Choice 1: you are
Choice 2: she is
Choice 3: he is
Fill-in (5) Systems Generated
Choice 1: you have
Choice 2: she has
Choice 3: he has
SUS006 AUXILIARY BENEFIT TERMINATED ENTITLED TO EQUAL OR HIGHER BENEFIT ON OWN OR OTHER RECORD
(B14)
(Requested)
Caption: Your Benefits
We are stopping the benefits (1) been receiving as a (2) on (3) Social Security record. This is because (4) entitled to an equal or larger benefit on (5) record.
Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: you have
Choice 2: he has
Choice 3: she has
Fill-in (2) - Requested As A One Position Alpha Character
Choice 1: (A) wife
Choice 2: (B) husband
Choice 3: (C) widow
Choice 4: (D) widower
Choice 5: (E) mother
Choice 6: (F) father
Choice 7: (G) disabled widow
Choice 8: (H) disabled widower
Choice 9: (I) disabled divorced widow
Choice 10: (J) disabled divorced widower
Choice 11: (K) child
Fill-in (3) - Requested as Language
Number holder name on other SSN
Fill-in (4) - Systems Generated
Choice 1: you are
Choice 2: he is
Choice 3: she is
Fill-in (5) - Systems Generated
Choice 1: your own
Choice 2: his own
Choice 3: her own
Choice 4: another person's
SUS014 TO WIFE UNDER 62 OR WIDOW UNDER 60 PAYMENT SUSPENDED NO CHILD IN HER CARE (S04)
(Requested)
Caption: Your Benefits
We cannot pay (1) because (2) not taking care of a child who (3) entitled to Social Security benefits.
Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: Beneficiary's Name
Choice 2: you
Fill-in (2) - Systems Generated
Choice 1: you are
Choice 2: he is
Choice 3: she
Fill-in (3) - Systems Generated
Choice 1: is
Choice 2: was
SUS021 INITIAL AWARD LAF S8 WHEN PAYMENTS BEGIN BENEFICIARY NOT DAA (S23)
(System Generated)
Caption: Why We Begin Your Payments
When we begin your (1) payments, you will be paid all money that is due you. When we make a decision about
your payee, we will send you another letter. This letter will explain what you can
do if you disagree with our payee decision.
Fill-in values:
Fill-in (1)
Social Security
SUS026 INITIAL AWARD LAF S8 PAYEE NEEDED BENEFICIARY NOT DAA (S21)
(Requested)
Caption: Why We Are Delaying Your Payments
We have determined that you need help managing your payments. We will be selecting
a qualified person to receive your payments. We call this person a representative
payee. It will be your payee's duty to manage your (1) payments for you and use them for your needs.
Fill-in values:
Fill-in (1) - Systems Generated
Social Security
SUS035 AUXILIARY SUSPENDED BECAUSE HA/DWB/CDB SUSPENDED FOR CDR FAILURE TO COOPERATE (S37)
(Requested)
Caption: Your Benefits
We cannot pay further benefits until we can study the facts and decide whether (1) still meets the requirements to receive disability benefits. We will let you know
when we make this decision and will tell you whether we can start (2) benefits again.
Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: NH Name
Choice 2: CDB's Full Name
Fill-in (2) - Systems Generated
Choice 1: Beneficiary's name possessive
Choice 2: your
SUS040 PROHIBITED PAYMENT (S06)
(Requested)
Caption: Your Benefits
We cannot pay (1) benefits because the rules of the United States Treasury Department do not allow
payment while (2) (3) in (4) . We will let you know if the tax rules change.
Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: Beneficiary's Name
Choice 2: you
Fill-in (2) - Systems Generated
Choice 1: he
Choice 2: she
Choice 3: you
Fill-in (3) - Systems Generated
Choice 1: lives
Choice 2: live
Fill-in (4) - Systems Generated
Choice 1: Cuba
Choice 2: North Korea
SUS057 PAYMENT POSSIBLE TO OTHER FAMILY MEMBERS BENEFITS DELAYED BENEFICIARY NOT LAWFULLY
PRESENT IN THE U.S (G46)
(System Generated)
Caption: Rules For Lawful Presence In The U.S.
Even though we cannot pay (1) benefits, we may be able to pay other individuals if they are entitled on this record.
Fill-in values:
Fill-in (1)
Choice 1: Beneficiary's Name
Choice 2: you
SUS063 LAWFULLY PRESENT STATUS TO END - EVIDENCE REQUIRED THAT STATUS HAS CHANGED (S27)
(Requested)
Caption: What You Need To Do
Based on the information we have, (1) lawfully present status will end (2) . To receive benefits after that date, (3) must give us new evidence by (4) about (5) status. This evidence must show that (6) status has been extended or changed to another lawfully present category. If we do
not receive this evidence by (7) , we will stop (8) benefits.
Fill-in values:
Fill-in (1) Systems Generated
Choice 1: your
Choice 2: Beneficiary's First Name possessive
Fill-in (2) Systems Generated
MM/CCYY
Fill-in (3) Systems Generated
Choice 1: you
Choice 2: he
Choice 3: she
Fill-in (4) Systems Generated
MM/CCYY that evidence is due
Fill-in (5) Systems Generated
Choice 1: your
Choice 2: his
Choice 3: her
Fill-in (6) Systems Generated
Choice 1: your
Choice 2: his
Choice 3: her
Fill-in (7) Systems Generated
MM/YY that evidence is due
Fill-in (8) Systems Generated
Choice 1: your
Choice 2: his
Choice 3: her
SUS064 REQUIREMENTS NOT MET FOR PAYMENT AS AN ALIEN LAWFULLY PRESENT IN THE U.S (S25)
(Requested)
Caption: Rules For Lawful Presence In The U.S.
Based on the information we have, (1) not meet the above requirement. We may begin to pay (2) benefits if (3) alien status changes or if (4) the U.S. We will send another letter if we begin (5) benefits.
Fill-in values:
Fill-in (1) Systems Generated
Choice 1: you do
Choice 2: Beneficiary's First Name does
Fill-in (2) Systems Generated
Choice 1: you
Choice 2: him
Choice 3: her
Fill-in (3) Systems Generated
Choice 1: your
Choice 2: his
Choice 3: her
Fill-in (4) Systems Generated
Choice 1: you leave
Choice 2: he leaves
Choice 3: she leaves
Fill-in (5) Systems Generated
Choice 1: your
Choice 2: his
Choice 3: her
SUS065 BENEFITS DELAYED/SUSPENSION - BENEFICIARY NOT LAWFULLY PRESENT IN U.S. (J15)(S24)
(Requested)
Caption: Rules For Lawful Presence in the U.S. or Information We Need From You
Under the law, we (1) pay (2) for (3) any month (4) lawfully present in the U.S. To receive benefits, (5) must be a U.S. citizen or national, or lawfully present in the U.S., defined by the
Attorney General as an alien:
-
•
lawfully admitted for permanent residence;
-
•
admitted as a refugee under section 207 of the Immigration and Nationality Act (INA);
-
•
granted asylum under section 208 of the INA;
-
•
paroled under section 212(d)(5) of the INA (except for aliens paroled for an exclusion
hearing or prosecution in the U.S.);
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•
an alien whose deportation has been withheld under section 243(h) of the INA as in
effect prior to April 1, 1997, or whose removal has been withheld under section 241(b)(3)
of the INA.
-
•
granted conditional entry as a refugee under section 203(a)(7) of the INA as in effect
prior to April 1, 1980;
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•
inspected and admitted to the U.S. and who has not violated the applicable terms of
his/her status;
-
•
with a pending application for political asylum under section 208 of the INA or a
pending application for withholding of deportation under section 243(h) of the INA,
and employment authorization; or
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•
belonging to any specific class of aliens permitted to remain in the U.S. under U.S.
law or policy, for humanitarian or other public policy reasons.
Fill-in values:
Fill-in (1) Systems Generated
Choice 1: can
Choice 2: cannot
Fill-in (2) Systems Generated
Choice 1: you
Choice 2: Beneficiary's Full Name
Fill-in (3) Systems Generated
Null
Fill-in (4) Systems Generated
Choice 1: you are
Choice 2: he is
Choice 3: she is
Choice 4: you are not
Choice 5: she is not
Choice 6: he is not
Fill-in (5) Systems Generated
Choice 1: you
Choice 2: he
Choice 3: she
SUS074 BENEFITS SUSPENDED - FAILURE TO MEET REQUIREMENTS TO BE CONSIDERED LAWFULLY PRESENT
IN U.S. (S26)
(Requested)
Caption: Your Benefits
We cannot pay (1) benefits because (2) not lawfully present in the U.S.
Fill-in values:
Fill-in (1) Systems Generated
Choice 1: Beneficiary's Name
Choice 2: you
Fill-in (2) Systems Generated
Choice 1: he is
Choice 2: she is
Choice 3: you are
SUS077 BENEFICIARY SUSPENDED S9 – VOLUNTARY DRC SUSPENSION – RFST = VOLDRC (S11)
(Systems Generated)
Caption: Your Benefits
We received (1) request to suspend (2) retirement benefits to earn delayed retirement credits. Suspending these benefits
will also stop payments to (3) on any other record on which (4) entitled. We will restart (5) benefits with the earlier of:
-
-
•
The month after (7) for payments to restart.
Fill-in values:
Fill-in (1) Systems Generated
Choice 1: your
Choice 2: Number Holder’s Full Name possessive
Fill-in (2) Systems Generated
Choice 1: your
Choice 2: his
Choice 3: her
Fill-in (3) Systems Generated
Choice 1: you
Choice 2: him
Choice 3: her
Fill-in (4) Systems Generated
Choice 1: you are
Choice 2: he is
Choice 3: she is
Fill-in (5) Systems Generated
Choice 1: your
Choice 2: Number Holder’s Full Name possessive
Fill-in (6) Systems Generated
Choice 1: you reach
Choice 2: he reaches
Choice 3: she reaches
Fill-in (7) Systems Generated
Choice 1: you ask
Choice 2: he asks
Choice 3: she asks
SUS084 EMBEDDED PERIOD OF BENEFICIARY SUSPENSION (S9) TO EARN DELAYED RETIREMENT CREDITS
(VOLDRC OR LEGIS1)
(System Generated)
Caption: Your Benefits
We received (1) request to suspend (2) retirement benefits for (3) to earn delayed retirement credits. Suspending these benefits will also stop payments
to (4) on any other record on which (5) entitled. We will restart (6) benefits for (7) in (8) , unless (9) us to restart (10) benefits earlier.
Fill-in values
Fill-in (1)
Choice 1: your
Choice 2: Number Holder’s Full Name possessive
Fill-in (2)
Choice 1: your
Choice 2: his
Choice 3: her
Fill-in (3)
Choice 1: Month CCYY
Choice 2: Month CCYY through Month CCYY
Fill-in (4)
Choice 1: you
Choice 2: Number Holder’s Full Name
Fill-in (5)
Choice 1: you are
Choice 2: he is
Choice 3: she is
Fill-in (6)
Choice 1: your
Choice 2: Number Holder’s Full Name possessive
Fill-in (7)
Choice 1: Month CCYY
Fill-in (8)
Choice 1: Month CCYY
Fill-in (9)
Choice 1: you ask
Choice 2: he asks
Choice 3: she asks
Fill-in (10)
Choice 1: your
Choice 2: his
Choice 3: her
SUS087 INDIVIDUAL DEPORTED (S02)
(System Generated)
Caption: Your Benefits
We cannot pay (1) benefits because (2) deported or removed from the United States under one of the following sections of
the Immigration and Nationality Act (INA):
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•
Section 241(a) of the INA in effect prior to April 1, 1997;
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-
This is based on information from the U.S. Department of Homeland Security. Please
get in touch with us if in the future (3) permitted to return to the United States as a lawful permanent resident. Benefits
may again be payable at that time.
Fill-in values:
Fill-in (1)
Choice 1: Beneficiary's Name
Choice 2: you
Fill-in (2)
Choice 1: he was
Choice 2: she was
Choice 3: you were
Fill-in (3)
Choice 1: he is
Choice 2: she is
Choice 3: you are
SUS094 TO AUXILIARIES OF DEPORTED N/H (S03 )
(System Generated)
Caption: Your Benefits
We cannot pay (1) benefits because (2) has been deported or removed from the United States under certain provisions of the
Immigration and Nationality Act. We may be able to pay (3) benefits if:
OR
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•
(5) not a U.S. citizen, but (6) in the United States for a full calendar month or more without leaving for any period,
no matter how short.
If (7) one of these requirements, please let us know.
Fill-in values:
Fill-in (1)
Choice 1: you
Choice 2: Beneficiary name
Fill-in (2)
Number Holder's name
Fill-in (3)
Choice 1: you
Choice 2: him
Choice 3: her
Fill-in (4)
Choice 1: You are
Choice 2: He is
Choice 3: She is
Fill-in (5)
Choice 1: You are
Choice 2: He is
Choice 3: She is
Fill-in (6)
Choice 1: you stay
Choice 2: he stays
Choice 3: she stays
Fill-in (7)
Choice 1: you meet
Choice 2: he meets
Choice 3: she meets
SUS095 RECEIPT OF PUBLIC ASSISTANCE PAYMENTS (S01)
(Requested)
Caption: Your Benefits
We cannot pay (1) now because (2) . Please let us know if the welfare payments are stopped for any month.
Fill-in values:
Fill-in (1) Systems Generated
Choice 1: you
Choice 2: beneficiary name
Fill-in (2) Requested As A One Position Alpha Character
Choice 1: (A) you are receiving welfare payments
Choice 2: (B) he is receiving welfare payments
Choice 3: (C) she is receiving welfare payments
Choice 4: (D) your spouse is receiving welfare payments
Choice 5: (E) his spouse is receiving welfare payments
Choice 6: (F) her spouse is receiving welfare payments
SUS096 STUDENT SUSPENDED FAILURE TO RETURN FORM SSA-1386-SM OR SSA-1388-C2 SUSPENSION 5/82
OR LATER (S08)
(Requested)
Caption: Your Benefits
We are stopping (1) checks because we have not received (2)
student report form.
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•
If (3) not filled out the form, please do so right away.
Then take the form to (4) school.
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•
If (5) gave the form to (6) school during the last 2
weeks, we will probably receive it soon. (7) will not need
to get in touch with us unless (8) receive (9) next check.
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•
If (10) gave the form to (11) school more than 2 weeks
ago, get in touch with us and we will help (12) . (13)
need to contact the school again.
-
•
If (14) a new form, let us know.
Fill-in values:
Fill-in (1) Systems Generated
Choice 1: Beneficiary's Name
Choice 2: your
Fill-in (2) Systems Generated
Choice 1: your
Choice 2: his
Choice 3: her
Fill-in (3) Systems Generated
Choice 1: you have
Choice 2: he has
Choice 3: she has
Fill-in (4) Systems Generated
Choice 1: your
Choice 2: his
Choice 3: her
Fill-in (5) Systems Generated
Choice 1: you
Choice 2: he
Choice 3: she
Fill-in (6) Systems Generated
Choice 1: your
Choice 2: his
Choice 3: her
Fill-in (7) Systems Generated
Choice 1: You
Choice 2: He
Choice 3: She
Fill-in (8) Systems Generated
Choice 1: you do not
Choice 2: he does not
Choice 3: she does not
Fill-in (9) Systems Generated
Choice 1: your
Choice 2: his
Choice 3: her
Fill-in (10) Systems Generated
Choice 1: you
Choice 2: he
Choice 3: she
Fill-in (11) Systems Generated
Choice 1: your
Choice 2: his
Choice 3: her
Fill-in (12) Systems Generated
Choice 1: you
Choice 2: him
Choice 3: her
Fill-in (13) Systems Generated
Choice 1: You do not
Choice 2: He does not
Choice 3: She does not
Fill-in (14) Systems Generated
Choice 1: you need
Choice 2: he needs
Choice 3: she needs
SUS099 DIRECT DEPOSIT FRAUD SUSPENSE
(Systems Generated)
Caption: Your Benefits
We stopped (1) Social Security benefits because of possible fraud on (2) record. Please contact us right away. We need to verify your direct deposit information
before we can resume (3) benefits.
Fill-in values:
Fill-in (1)
Choice 1: your
Choice 2: Beneficiary's Name possessive
Fill-in (2)
Choice 1: your
Choice 2: his
Choice 3: her
Fill-in (3)
Choice 1: your
Choice 2: his
Choice 3: her
SUS100 SUSPENSION OF AUXILIARY’S BENEFITS - NUMBER HOLDER (NH) REQUESTS VOLUNTARY SUSPENSION
TO EARN DELAYED RETIREMENT CREDITS (LEGIS1)
(Systems Generated)
Caption: Your Benefits
We received (1) request to suspend (2) benefits to earn delayed retirement credits. As a result, we must suspend the benefits
(3) on (4) record. We will restart (5) with the earlier of:
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•
The month (6) reaches age 70, or
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•
The month after (7) asks for payments to restart.
Fill-in values
Fill-in (1)
Choice 1: Number Holder’s Full Name possessive
Fill-in (2)
Choice 1: his
Choice 2: her
Choice 3: null
Fill-in (3)
Choice 1: you receive
Choice 2: Auxiliary’s Full Name receives
Fill-in (4)
Choice 1: Number Holder’s Full Name possessive
Fill-in (5)
Choice 1: your
Choice 2: Auxiliary’s Full Name possessive
Fill-in (6)
Choice 1: Number Holder’s Full Name
Fill-in (7)
Choice 1: Number Holder’s Full Name
SUS211 RETROACTIVE SUSPENSION — NEW INFORMATION RECEIVED/DUE PROCESS SENT (A23)
(Requested)
Caption: Your Benefits
(1) , we should have stopped (2) Social Security benefits beginning (3) .
Fill-in values:
Fill-in (1) Requested As A One Position Alpha Character
Choice 1: (A) As we told you earlier
Choice 2: (B) Based on the information we have
Fill-in (2) Systems Generated
Choice 1: your
Choice 2: his
Choice 3: her
Fill-in (3) Systems Generated
MM/CCYY