Current SSA-L8554

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OMB No. 0960-0189

Form SSA-L8554 (08-2022)
Discontinue Prior Editions

SOCIAL SECURITY ADMINISTRATION
OFFICE OF QUALITY REVIEW

FAX
Date:

Claim Number:

Dear
Each month the Social Security Administration (SSA) asks a few people, who receive
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
at your home
.
I work in 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
that allows this review is enclosed.

's benefits. The Social Security Act

How You Can Prepare For My Call
I have enclosed a form with the items checked that you should have available when
I call.
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 the 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

My telephone number is
Enclosures:
Envelope
Forms SSA-8552
SSA-2935-U3
SSA-85

and

. Thank you.
Sincerely,
Quality Review Analyst

.

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Form SSA-L8554 (08-2022)

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.