I-4-3-117.Exhibit - Instructions for Separating Concurrent DIB/SSI Files

Last Update: 9/13/05 (Transmittal I-4-15)


  1. Both Cases Allowed

    The SSI file must contain the SSI application, SSI notices, ALJ, and AC decisions, and other documents bearing on the SSI eligibility and payment of benefits (see list for examples — not an all inclusive list).

    The Title II file must contain all records pertaining to the Title II claim. In a disability case, the medical evidence should be retained in the Title II file.

  2. One Claim Allowed and One Claim Denied

    Follow the procedure outlined in A. above. Also, in disability cases, the analyst must arrange to have the medical exhibits photocopied. Place the original copies of the medical exhibits in the folder of the denied claim so they will be available in the event of further appeal. Place the photocopies of the medical exhibits in the allowed file.

  3. List of Records Relevant to SSI Claims

Application for SSI

Statement of Income and Resources

DDS Title XVI Determinations

Title XVI Notices

ALJ Decision

AC Decision

Bank Books

Insurance Policies

Reports of Contact or Statements regarding Living Arrangements

Rent Receipts

Utility Bills

Assessment of Property Forms

Proof of Age

Proof of Marital Status

Proof of Citizenship

SSI Queries


Work history during claimed disability

Worker's Compensation Decisions

Department of Veterans Affairs Award Letters