POMS Reference

NL 00720: Manual Adjustment, Credit and Award Process (MADCAP) Beneficiary Notice Print Program

BASIC (05-11)

COA – Change of Address

COA002 BENEFITS RESUMED REQUESTED FORM HAS BEEN RETURNED (R01)

(Requested)

Caption: Your Benefits

We told you in an earlier letter that we would stop your payments. Now that we have the information we needed, we can start paying you again. We will pay you  (1)  beginning  (2) 

Fill-in values:

Fill-in (1) - Systems Generated

Money Amount

Fill-in (2) - Systems Generated

Date