I-2-8-100.Exhibit – Supplemental Security Income Notice: Payment Continuation (Restarting Payments While Case Is Appealed; Individual Previously Received Continued Payments)

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From: Social Security Administration

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Date:

Social Security Number:

YOUR CHECKS MAY BEGIN AGAIN.

Supplemental security income (SSI) disability payments may be continued until an appeal of the decision that you are no longer disabled is decided by an Administrative Law Judge. If you were also having Social Security disability benefits continued before, these benefits may start again.

WHY ARE YOUR CHECKS STARTING AGAIN?

Your checks had continued while you were appealing your case, but they stopped when a decision was made that you were not disabled (or your case was dismissed). Because your case has now been sent back to an Administrative Law Judge for further action, this decision (or dismissal order) is no longer in effect. Therefore, you may receive checks until a new decision is made.

WHAT DO YOU HAVE TO DO TO GET THESE CHECKS?

Nothing, your checks for future months will start again soon.

However, we will be contacting you for additional information we will need to make sure your SSI check is the right amount, such as your living arrangements, money you receive, and things you own. After we consider this information, we will send you a check (if you are eligible) for the months since the prior decision (or dismissal order).

SUPPOSE YOU DO NOT WANT TO RECEIVE CHECKS UNTIL A DECISION IS MADE.

If you do not want to receive checks until a decision is made, you must get in touch with any Social Security Office.

WHAT HAPPENS AFTER A DECISION IS MADE?

If you are found to be not disabled (or if your case is dismissed), you will be asked to pay back the disability checks you received while you were appealing your case. But you will have the right to ask that you not be required to pay them back.

If you are found to be disabled, any money you are due will be paid.

WHAT TO DO IF YOU HAVE ANY QUESTIONS ABOUT THIS NOTICE.

Call or visit any Social Security Office. If you visit an office, please take this notice. It will help us answer your questions.