NL 00720: Manual Adjustment, Credit and Award Process (MADCAP) Beneficiary Notice Print Program
TN 4 (08-12)
ONS002 LATER ONSET ESTABLISHED EARNINGS REQUIREMENTS (J03)
(Requested)
Caption: The Date You Became Disabled
(1) may have been disabled before this date (2) . However, (3) did not meet the disability earnings requirement until (4) . We explain this requirement in the enclosed pamphlet, called "How You Earn Credits."
Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: Beneficiary's Name
Choice 2: She
Choice 3: He
Choice 4: You
Fill-in (2) - Systems Generated
Choice 1: onset date (MM/DD/CCYY)
Fill-in (3) - Systems Generated
Choice 1: she
Choice 2: he
Choice 3: you
Fill-in (4) - Systems Generated
Choice 1: onset date (MM/DD/CCYY)
ONS003 ONSET DATE
(Generated)
Caption: The Date You Became Disabled
We found that (1) became disabled under our rules on (2) .
Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: you
Choice 2: Beneficiary's Name
Fill-in (2) - Systems Generated
Choice 1: onset date (MM/DD/CCYY)
ONS004 ONSET DIFFERENT FROM ALLEGED (J02)
(Requested)
Caption: The Date You Became Disabled
The date that we found (1) disabled is different from the date you gave us on the application.
Also, (2) to be disabled for 5 full calendar months in a row before (3) can be entitled to benefits. For these reasons, (4) first month of entitlement to benefits is (5) .
Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: Beneficiary's Name
Choice 2: you
Fill-in (2) - Systems Generated
Choice 1: she has
Choice 2: he has
Choice 3: you have
Fill-in (3) - Systems Generated
Choice 1: she
Choice 2: he
Choice 3: you
Fill-in (4) - Systems Generated
Choice 1: her
Choice 2: his
Choice 3: your
Fill-in (5) - Systems Generated
Choice 1: DOE-START (MM/CCYY