Ssa-l8554-u3

SOCIAL SECURITY ADMINISTRATION
OFFICE OF QUALITY REVIEW
«RGN_ADDR»

FAX

Date:

Claim Number: XXX-XX-

FOR
Dear
«STANDARD_SNO_TEXT» 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
home
.

at your

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
’s benefits. The Social Security Act that allows this
review is enclosed.

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.

Form SSA-L8554 (10-2018)
OMB No. 0960-0189

If you have any questions, you may call me at my office between
telephone number is
. Thank you.

and

. My

Sincerely,

Quality Review Analyst
Enclosures:
Envelope
Forms SSA-8552
SSA-2935-U3
SSA-85

Form SSA-L8554 (10-2018)
OMB No. 0960-0189

________________________________________________________________________________________________________

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)
OMB No. 0960-0189