Form Letter ID-4-S-1, Advising of Service and Earnings Requirements for RUIA Benefits

Form ID-4-S-1 (09-99).pdf

RUIA Investigations and Continuing Entitlement

Form Letter ID-4-S-1, Advising of Service and Earnings Requirements for RUIA Benefits

OMB: 3220-0025

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U.S. RAILROAD RETIREMENT BOARD
Office of Programs – Operations
Post Office Box 10695
Chicago, Illinois 60610-0695

ID-4-S-1 (09-99)

NAME
ADDRESS
LOUCUST VALLEY, NY
In reply refer to
SS No.
REQ –

You may not be paid benefits under the Railroad Unemployment Insurance Act for the
general benefit year July 1, 20XX through June 30, 20XX unless you had railroad
earnings (not counting over $XXX for any one month) of at least $XXX in 20XX; also, if
20XX was your first year in railroad work, you must have railroad service in at least five
months in 20XX.
According to our record for your social security account number, shown above, you did
not work for a railroad before 20XX. Our records for 20XX show that you do not have
$XXXX in railroad earnings.
If you did have the required earnings in XXXX complete and return the enclosed form.
Be sure to show on the enclosed form all the payroll names and social security account
numbers you have ever used in railroad employment.

Robert J. Duda
Director of Operations
ENCLOSURE
FORM UI-9


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File Modified2007-04-25
File Created2007-04-25

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