Form Letter ID-32N; Establishing Extended Sickness Benefits and Data on Individual Service

UNITED STATES OF AMERICA

CURRENT

RAILROAD RETIREMENT BOARD
OFFICE NAME
844 NORTH RUSH STREET

CHICAGO, IL 60611-2092
WWW.RRB.GOV
OFFICE HOURS: 9:00 AM TO 3:30 PM
MONDAY THROUGH FRIDAY EXCEPT FEDERAL HOLIDAYS

TOLL-FREE NUMBER: 1-877-772-5772

In reply refer to
REQ:

Notice of Benefit Determination

According to our records you do not have sufficient railroad compensation to qualify for normal
benefits in the current benefit year. However, you may now receive benefits based on an
extension of your previous benefit year. An extended benefit period runs for 7 consecutive 14-day
claim periods having 10 days payable in each. Your extended benefit period begins
and
ends
.
If you think our records are wrong and that you are qualified for benefits in the current benefit year,
complete and return the enclosed Form UI-9.
Sincerely,

Enclosure

ID-32N (05-04)