POMS Reference

SI 02003: Interim Assistance Payments

TN 13 (11-10)

Use the instructions to process the eIAR exception cases described in SI 02003.023.

NOTE: The SSA-8125 is obsolete due to the implementation of electronic Interim Assistance Reimbursement system (eIAR). This reference is retained in POMS because the form may be encountered in pipeline cases.

A. Exhibit of SSA-8125 (SSI Notice of Interim Assistance Reimbursement)

G-SSA-8125-1

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G-SSA-8125-2

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B. Exhibit of SSA-L8125-F6 (Notice of Interim Assistance Reimbursement)

G-SSA-L8125-F6-1

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G-SSA-L8125-F6-2

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G-SSA-L8125-F6-3

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G-SSA-L8125-F6-4

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G-SSA-L8125-F6-5

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G-SSA-L8125-F6-6

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