NL 00720: Manual Adjustment, Credit and Award Process (MADCAP) Beneficiary Notice Print Program
TN 9 (06-18)
MOE003 MONTH OF ENTITLEMENT CHANGE — ELECTION BEFORE FULL RETIREMENT AGE (A50)
(Requested)
Caption: Your Benefits
We reviewed (1) record. When (2) applied for benefits, (3) asked us to start (4) benefits in (5) . We changed the month (6) benefits start to (7) because of (8) (9) work and earnings.
Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: Beneficiary's Name possessive
Choice 2: your
Fill-in (2) - Systems Generated
Choice 1: he
Choice 2: she
Choice 3: you
Fill-in (3) - Systems Generated
Choice 1: he
Choice 2: she
Choice 3: you
Fill-in (4) - Systems Generated
Choice 1: his
Choice 2: her
Choice 3: your
Fill-in (5) - Requested As A Date In Format Shown Below
Choice 1: MM/CCYY
Fill-in (6) - Systems Generated
Choice 1: your
Choice 2: his
Choice 3: her
Fill-in (7) - Requested As A Date In Format Shown Below
Choice 1: MM/CCYY
Fill-in (8) - Systems Generated
Choice 1: you
Choice 2: his
Choice 3: her
Fill-in (9) - Requested As A Date In Format Shown Below
Choice 1: CCYY
MOE004 MONTH OF ENTITLEMENT CHANGE - WORK AND EARNINGS UPDATE - DUAL ENTITLEMENT INVOLVED
(Requested)
Caption: None If Used As An Intro; or Caption: Based On Your Expected Earnings
We reviewed (1) record. When (2) applied, (3) asked us to start (4) benefits in (5) . We changed the month (6) benefits start to (7) because of (8) (9) work and earnings.
(10) also receiving benefits on another record. We will send you another letter about those benefits.
Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: Beneficiary's Name possessive
Choice 2: your
Fill-in (2) - Systems Generated
Choice 1: he
Choice 2: she
Choice 3: you
Fill-in (3) - Systems Generated
Choice 1: he
Choice 2: she
Choice 3: you
Fill-in (4) - Systems Generated
Choice 1: his
Choice 2: her
Choice 3: your
Fill-in (5) - Requested As A Date In Format Shown Below
Choice 1: MM/CCYY
Fill-in (6) - Systems Generated
Choice 1: Beneficiary's Name possessive
Choice 2: your
Fill-in (7) - Requested As A Date In Format Shown Below
Choice 1: MM/ CCYY
Fill-in (8) - Systems Generated
Choice 1: Beneficiary's Name possessive
Choice 2: Number Holder's Name possessive
Choice 3: your
Fill-in (9) - Requested As A Date In Format Shown Below
Choice 1: CCYY
Fill-in (10) - Systems Generated
Choice 1: He is
Choice 2: She is
Choice 3: You are
MOE005 EARLY MONTH OF ENTITLEMENT DUE TO WORK AND EARNINGS – NO REDUCTION IN BENEFITS – DUALLY ENTITLED
(Requested)
Caption: None If Used As An Intro; or Caption: Based On Your Expected Earnings
We reviewed (1) record. When (2) applied, (3) asked us to start (4) benefits in (5) . We changed the month (6) benefits start to (7) because of (8) (9) work and earnings. The change lets (10) get payments without permanently reducing (11) monthly benefits.
(12) also receiving benefits on another record. We will send you another letter about those benefits.
Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: Beneficiary's Name possessive
Choice 2: your
Fill-in (2) - Systems Generated
Choice 1: he
Choice 2: she
Choice 3: you
Fill-in (3) - Systems Generated
Choice 1: he
Choice 2: she
Choice 3: you
Fill-in (4) - Systems Generated
Choice 1: his
Choice 2: her
Choice 3: your
Fill-in (5) - Requested As A Date In Format Shown Below
Choice 1: MM/CCYY
Fill-in (6) - Systems Generated
Choice 1: Beneficiary's Name possessive
Choice 2: your
Fill-in (7) - Requested As A Date In Format Shown Below
Choice 1: MM/CCYY
Fill-in (8) - Systems Generated
Choice 1: Beneficiary's Name possessive
Choice 2: Number Holder's Name possessive
Choice 3: your
Fill-in (9) - Requested As A Date In Format Shown Below
Choice 1: CCYY
Choice 2: CCYY and CCYY
Fill-in (10) - Systems Generated
Choice 1: him
Choice 2: her
Choice 3: you
Fill-in (11) - Systems Generated
Choice 1: his
Choice 2: her
Choice 3: your
Fill-in (12) - Systems Generated
Choice 1: He is
Choice 2: She is
Choice 3: You are
MOE006 MONTH OF ENTITLEMENT – WORK AND EARNINGS CHANGED ON DUAL ENTITLEMENT RECORD
(Requested)
Caption: None If Used As An Intro; or Caption: Based On Your Expected Earnings
We changed the month (1) benefits start on (2) record from (3) to (4) . We changed the month because of (5) (6) work and earnings. (7) is the earliest month (8) can get benefits on (9) record. (10) benefits must start before (11) benefits can start.
Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: Beneficiary's Name possessive
Choice 2: your
Fill-in (2) - Systems Generated
Choice 1: Beneficiary's Name possessive (Primary on other record)
Fill-in (3) - Systems Generated
Choice 1: MM/CCYY
Fill-in (4) - Systems Generated
Choice 1: MM/CCYY
Fill-in (5) - Systems Generated
Choice 1: Beneficiary's Name possessive
Choice 2: Number Holders Name possessive
Choice 3: your
Fill-in (6) - Requested As A Date In Format Shown Below
Choice 1: CCYY
Fill-in (7) - Systems Generated
Choice 1: MM/CCYY
Fill-in (8) - Systems Generated
Choice 1: Beneficiary's Name
Choice 2: you
Fill-in (9) - Systems Generated
Number Holders Name possessive
Fill-in (10) - Systems Generated
Number Holders Name possessive
Fill-in (11) - Systems Generated
Choice 1: Beneficiary's Name possessive
Choice 2: your
MOE007 MONTH OF ENTITLEMENT CHANGE – NO REDUCING OF BENEFITS
(Requested)
Caption: None If Used As An Intro; or Caption: Based On Your Expected Earnings
We reviewed (1) record. When (2) applied, (3) asked us to start (4) benefits in (5) . We changed the month (6) benefits start to (7) because of (8) (9) work and earnings. This change lets (10) get payments without permanently reducing (11) monthly benefits.
Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: Beneficiary's Name possessive
Choice 2: your
Fill-in (2) - Systems Generated
Choice 1: he
Choice 2: she
Choice 3: you
Fill-in (3) - Systems Generated
Choice 1: he
Choice 2: she
Choice 3: you
Fill-in (4) - Systems Generated
Choice 1: his
Choice 2: her
Choice 3: your
Fill-in (5) - Systems Generated
Choice 1: MM/CCYY
Fill-in (6) - Systems Generated
Choice 1: Beneficiary's Name possessive
Choice 2: your
Fill-in (7) - Systems Generated
Choice 1: MM/CCYY
Fill-in (8) - Systems Generated
Choice 1: Beneficiary's Name possessive
Choice 2: Number Holders Name possessive
Choice 3: your
Fill-in (9) - Requested As A Date In Format Shown Below
Choice 1: CCYY
Choice 2: CCYY and CCYY
Fill-in (10) - Systems Generated
Choice 1: him
Choice 2: her
Choice 2: you
Fill-in (11) - Systems Generated
Choice 1: his
Choice 2: her
Choice 3: your
MOE008 EARLIER MONTH OF ENTITLEMENT
(Generated/Requested)
Caption: Your Benefits
We have reviewed (1) record. When (2) applied, (3) asked us to start (4) benefits in (5) . We changed the month (6) benefits start to (7) due to (8) (9) work and earnings.
Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: your
Choice 2: Beneficiary's Name possessive
Fill-in (2) - Systems Generated
Choice 1: you
Choice 2: he
Choice 3: she
Fill-in (3) - Systems Generated
Choice 1: you
Choice 2: he
Choice 3: she
Fill-in (4) - Systems Generated
Choice 1: your
Choice 2: his
Choice 3: her
Fill-in (5) - Systems Generated or Requested As A Date
DOEC-MM/YYYY
Fill-in (6) - Systems Generated
Choice 1: your
Choice 2: Beneficiary's Name possessive
Fill-in (7) - Systems Generated
Adjusted MOEL — MM/YYYY
Fill-in (8) - Systems Generated
Choice 1: your
Choice 2: Working NH's first and last name possessive
Fill-in (9) - Systems Generated
Enforcement year — YYYY