[Code of Federal Regulations]
[Title 20, Volume 2]
[Revised as of April 1, 2004]
From the U.S. Government Printing Office via GPO Access
[CITE: 20CFR422.130]

[Page 1077-1078]
 
                      TITLE 20--EMPLOYEES' BENEFITS
 
               CHAPTER III--SOCIAL SECURITY ADMINISTRATION
 
PART 422_ORGANIZATION AND PROCEDURES--Table of Contents
 
                      Subpart B_General Procedures
 
Sec. 422.130  Claim procedure.

    (a) General. The Social Security Administration provides facilities 
for the public to file claims and to obtain assistance in completing 
them. An appropriate application form and related forms for use in 
filing a claim for monthly benefits, the establishment of a period of 
disability, a lump-sum death payment, or entitlement to hospital 
insurance benefits or supplementary medical insurance benefits can be 
obtained from any district office, branch office, contact station, or 
resident station of the Social Security Administration, from the 
Division of Foreign Claims, Post Office Box 1756, Baltimore, MD 21203, 
or from the Veteran's Administration Regional Office, Manila, 
Philippines. See Sec. 404.614 of this chapter for offices at which 
applications may be filed. See 42 CFR part 405, subpart A, for 
conditions of entitlement to hospital insurance benefits and 42 CFR part 
405, subpart B, for information relating to enrollment under the 
supplementary medical insurance benefits program.
    (b) Submission of evidence. An individual who files an application 
for

[[Page 1078]]

monthly benefits, the establishment of a period of disability, a lump-
sum death payment, or entitlement to hospital insurance benefits or 
supplementary medical insurance benefits, either on his own behalf or on 
behalf of another, must establish by satisfactory evidence the material 
allegations in his application, except as to earnings shown in the 
Social Security Administration's records (see subpart H of part 404 of 
this chapter for evidence requirements in nondisability cases and 
subpart P of part 404 of this chapter for evidence requirements in 
disability cases). Instructions, report forms, and forms for the various 
proofs necessary are available to the public in district offices, branch 
offices, contact stations, and resident stations of the Social Security 
Administration, and the Veteran's Administration Regional Office, 
Manila, Philippines. These offices assist individuals in preparing their 
applications and in obtaining the proofs required in support of their 
applications.
    (c) Determinations and notice to individuals. In the case of an 
application for benefits, the establishment of a period of disability, a 
lump-sum death payment, a recomputation of a primary insurance amount, 
or entitlement to hospital insurance benefits or supplementary medical 
insurance benefits, the Social Security Administration, after obtaining 
the necessary evidence, will make a determination as to the entitlement 
of the individual claiming or for whom is claimed such benefits, and 
will notify the applicant of the determination and of his right to a 
reconsideration if he is dissatisfied with the determination (see Sec. 
422.140). Also see Sec. 404.1520 of this chapter for a discussion of 
the respective roles of State agencies and the Administration in the 
making of disability determinations and Sec. 404.1521 of this chapter 
for information regarding initial determinations as to entitlement or 
termination of entitlement in disability cases. See section 1869(a) of 
the Social Security Act for determinations under the health insurance 
for the aged program and sections 1816 and 1842 of the Act for the role 
of intermediaries, carriers, and State agencies in performing certain 
functions under such program, e.g., payment of claims pursuant to an 
agreement with the Social Security Administration.

[32 FR 13653, Sept. 29, 1967, as amended at 44 FR 34942, June 18, 1979; 
65 FR 16816, Mar. 30, 2000]