POMS Reference

NL 00701: Form Notices

TN 15 (06-10)

A. Sample SSA-L505 Residence Address Request Letter

G-SSA-L505-1

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G-SSA-L505-2

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B. Preparation of the SSA-L505 letter

SSA-L505 (Residence Address Letter) is used to request a beneficiary’s residence address when only the mailing address is available in SSA’s records. You can access this notice in the Document Processing System (DPS). For more information about scheduling a Centenarian Interview, see GN 02602.510. For more information about scheduling a Medicare Non-Utilization Interview, see GN 02602.610.