NL 00720: Manual Adjustment, Credit and Award Process (MADCAP) Beneficiary Notice Print Program
BASIC (05-11)
COL007 BENEFITS INCREASED BY COST OF LIVING (TWO RATES AND DATES) (B39)
(Requested)
Caption: Your Benefits
Because the cost of living increased, we changed (1) monthly benefit amount beginning (2) and beginning (3) .
Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: your
Choice 2: Beneficiary's Name possessive
Fill-in (2) - Requested As A Date In Format MM/CCYY
Choice 1: Date of increase
Fill-in (3) - Requested As A Date In Format MM/CCYY
Choice 1: Date of 2nd increase