SSA-L8554 - Current

SOCIAL SECURITY ADMINISTRATION
OFFICE OF QUALITY REVIEW

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OMB No. 0960-0189

Date:

Claim Number:

Dear
Each month the Social Security Administration (SSA) asks a few people, who get
benefit payments, to help us make sure we pay everyone the correct amount of
money. This month, we picked
(for whom you are
representative payee). We made this selection by chance, not for any other reason.
To make sure you receive the correct amount, I would like to telephone you and
on
at
.
I am with the Office of Quality Review, which is a special reviewing section in SSA,
and is separate from the office that processed
's claim. If you would
like to verify that this is a legitimate letter, you can call SSA. The national toll-free
number is (800) 772-1213.
What Will Happen When I Call You
I will identify myself as shown on the bottom of this letter.

··
··
·

I will ask you questions about
's benefits.
The Social Security Act that allows this review is enclosed.

How You Can Get Ready For My Call
I have enclosed a form with the items checked that you should have available.
Please review the enclosed copy of the Earnings Record for the account on
which
is receiving benefits.
You may have a friend or relative present to help you during my call.

Please Return the Enclosed Form to Me
Please complete and sign forms SSA-8552 and SSA-2935-U3, and mail them to me
in the enclosed envelope. You do not need a stamp.

If you have any questions, you may call me between
and
My telephone number is
. Thank you.
Sincerely,
Quality Reviewer
Enclosures:

.

Envelope
Forms SSA-8552
SSA-2935-U3
SSA-85

Form SSA-L8554 (10-2018)
Discontinue Prior Editions

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Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. §
3507, as amended by section 2 of the Paper Reduction Act of 1995. You do not need to answer these
questions unless we display a valid Office of Management and Budget control number. We estimate that it
will take about 40-50 minutes to read the instructions, gather the facts, and answer the questions. You may
send comments on our time estimate about to : SSA, 6401 Security Blvd., Baltimore, MD 21235-6401.
Send only comments relating to our time estimate to this address, not the complete form.

Form SSA-L8554 (10-2018)