Retirement, Survivors, and Disability Insurance
Office of Disability and
1500 Woodlawn Drive
Baltimore, Maryland 21241
Date: February 15, 1994
Claim Number: xxx-xx-xxxx HA
3801 CONNECTICUT AVE
WASHINGTON DC 20008
We are writing to give you new information about the disability benefits which you receive on this Social Security record.
What We Will Pay
You will soon receive a check for $13,096.00 because we had withheld money from your benefits.
In an earlier letter, we told you we were withholding your Social Security benefits for 4/92 THRU 7/93. We did this because we thought we might have to reduce your Social Security benefits if you also received Supplemental Security Income (SSI) money for this period.
Now we are writing to let you know that we are sending you the money we withheld. This is because you did not receive SSI money for this period. You will receive a check soon for the amount we withheld.
Do You Think We Are Wrong?
If you think we are wrong, you have the right to appeal. We will correct mistakes. We will look at any new facts you have. Then a person who did not make the first decision will decide your case again.
- You have 60 days to ask for an appeal.
- The 60 days start the day after you get this letter.
- You will have to have a good reason for waiting more than 60 days to ask for an appeal.
SEE NEXT PAGE
xxx-xx-xxxx HA 0710
If You Have Any Questions
If you have any questions, you may call us toll-free at 1-800-772-1213, or call your local Social Security office at 1-202-653-7013. We can answer most questions over the phone. You can write or visit any Social Security office. The office that serves your area is located at:
DISTRICT OFF M ST
2100 M STREET NW
WASHINGTON DC 20203
If you do call or visit an office, please have this letter with you. It will help us answer your questions. Also, if you plan to visit an office, you may call ahead to make an appointment. This will help is serve you more quickly when you arrive at the office.
Joseph R. Muffolett