POMS Reference

NL 00803: Supplemental Security Income (SSI) Posteligibility Notices

TN 3 (05-92)

EXAMPLE

The recipient reported that his/her eligible spouse died three months ago. The recipient will now be due more as an eligible individual and is underpaid starting the month after the spouse died. The recipient continues to live in the household of another.

NOTE: This notice has the numbers of the paragraphs we used in the left margin.

Example: Completed Field Office Manually Prepared Version of the SSA-L8151-U2

G-NL 00803.035-1

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Example: Completed Field Office Manually Prepared Version of the SSA-L8151-U2

G-NL 00803.035-2

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Example: Completed Field Office Manually Prepared Version of the SSA-L8151-U2

G-NL 00803.035-3

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Example: Completed Field Office Manually Prepared Version of the SSA-L8151-U2

G-NL 00803.035-4

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