Personal Interview - Intranet Screens (field office or National 800 Number)

Domestic Direct Deposit Application

MCS Claimant Address Data (CADR) screen

Personal Interview - Intranet Screens (field office or National 800 Number)

OMB: 0960-0634

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MCS Claimant Address Data (CADR): Screen Package
Table of Contents
1. MCS System Menu ......................................................................................................................................................... Error! Bookmark not defined.
2. Claim Udate 2 Screen ..................................................................................................................................................... Error! Bookmark not defined.
3. Claimant Mailing Address Screen (CADR) ...................................................................................................................... Error! Bookmark not defined.

MCS
MCS SYSTEM MENU
Ln
No
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2
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4
5
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7
8
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16
17
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20
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24

0
1
2
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4
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7
7
1 2345 678 901 234 56 78 9012 345 678 901 23 45 6789 012 345 678 90 12 3456 789 012 345 67 89 0123 456 789
C MCS
MCS S YS TEM MEN U
ME NU SC0
0
L
U
NH SS N: 99 99 9999 9
C L SSN: 99 999 999 9
FI ELD OF FIC E: X XX
M
N
SE LEC T: 9
1=E STA BLI SH
2=U PDA TE
3=QU ERY .
*
O
*SE LEC T T HE D ESIR ED FUN CTI ON : 99
N
1= PRE -IN TE RV IEW
15 =SS N CO RREC TIO N
E
2= 141 8 S SA CC S UP DAT E
16 =ON LI NE TIC KLE RE QUE ST
3= NEW CL AI M
17 =AR CH IV AL R ETR IEV AL
R
4= CLA IM UP DA TE/I NQU IRY
18 =IN TE RN ET
E
5= CLA IMS D EV ELOP MEN T
19 =TO TA LI ZATI ON
S
6= CLA IMS C LE ARAN CE
20 =CL AI MA NT D ELE TIO N
E
7= CAS E M OV EM ENT
21 =EA RN IN GS C OMP RE QUE ST
R
8= SUS PEN SI ON EVE NTS
22 =EA RN I N GS C OMP DE TER MI NA TION
V
9= APP EAL S
23 =DE CI SI ON I NPU T
E
10= FUT URE U SE
24 =CA SE Q UERY
D
11= FIL ING F OR SEL F
25 =NO TI CE DIS PLA Y
12= TIC KLE R EQ UEST
26 =PR OC ES S ST ATU S L IST
13= GEN ERA L ME SSAG E R EQU EST
27 =MA NA GE MENT OV ERR IDE
14= INT ERF AC E
28 =AU TO MA TED SSA -10 1.
**** *** *** *** *( LI NE 2 3 R ESE RVE D FO R AP PL I CAT ION S IN FORM ATI ON ) *** ** ** **** ** * ***
**** *** *** *** *( LI NE 2 4 R ESE RVE D FO R OP ER A TIN G S YS TE MS I NFO RM A TIO N) ** **** *** **
SCREEN FR
MSOM

8
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MCS
CLAIM UPDATE 2
Ln
No
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0
1
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1 2345 678 901 234 56 78 9012 345 678 901 23 45 6789 012 345 678 90 12 3456 789 012 345 67 89 0123 456 789
C
MCS
CLA IM UPD ATE 2
UP D2 SM1
0
N H: SSS SSS SS S
SS SSS SS SSS SS SS S
CL: SS SS SS SSS
SSS SS SS SS SSSS SS
L
U
SEL ECT SC REE EN O R EN TIR E C LAI M WI LL B E S HOW N: 99
M
1=A PPL -RS DHI
19= WOR K - WO RK H IST ORY
37=H IRS -HE ALT H IN S U. S. RES
N
2=C CMD -CO NTA CT M ETHO D
20= EAR N - EA RNIN GS
38=H IHI -HE ALT H IN SURA NCE
*
3=L SDP -MI SC LS DP
21= NHM S - NH MIL SE RVI CE
39=H IGP -HE ALT H GP PLA N
O
4=A BBD -AB BRE V DI B
22= NHM R - NH MIL /FE D/R ET
40=H I19 -HE ALT H IN S T1 9
N
5=I DEN -ID ENT IF IC ATIO N
23= NHR R - NH RR EMP LOY MEN T
41=M EDI -MI SC ME DI CARE
E
6=I DN2 -ID ENT 2
24= DEM E - WO RK D EDU CTS /MO E
42=B MAR -BE N M AR RI AGE
7=A DDB -AD D B EN EF ITS
25= WEP X - WI NDFA LL ELI M E XC
43=D CIC -DE PEN DE NT CIC
R
8=C HD1 -CH ILD I D 1
26= NPA R - NH DEP PA REN T
44=C LMS -CL MI L SE RVIC E
E
9=C LLG -CL IEN T LA NG
27= CPA R - CL DEP PA REN T
45=C LMR -CL MI L/ FE D/RE T
S 10=C REL -CH ILD R EL
28= DIS B - DI SAB INF O
46=C LRR -CL RR E MP LOYM ENT
E 11=C HD2 -CH ILD I D 2
29= WPM U - WC /PDB ME NU
47=S PRR -SP RR E MP LOYM ENT
R 12=C HPE -CH ILD P OT ENT
30= HIK D - HI /DIA L/T RAN SP
48=G PMU -GP O M EN U
V 13=S TUD -ST UDE NT E NT
31= ESR D - EN D ST G R ENA L
49=R EP1 -RE P P AY EE 1
E 14=N HID -NH ID EN T
32= CLC Z - U. S. C ITI ZEN SHI P
50=C UST =CU ST OF B EN
D 15=D ECD -DE CEA SE D INFO
33= CAD R - CL AIMA NT ADD RES S
51=C HNG -RE COR D OF CHA NGE
16=N HAB -NH AD D BE N
34= ADD R - AP L MA ILI NG ADD R
52=R MKS -RE MAR KS
17=N AMR -NH MA RR IA G
35= CLA D - CL IENT AD DRE SS
53=C ROC -CA SE RE C OF C HG
18=D EPC -NH DE P CH ILD
36= CLL P - CL IENT LAW FUL PRE S
54=C ONT INU E N EW C LAIM
**** *** *** *** *( LI NE 2 3 R ESE RVE D FO R AP PLI CAT ION S I N FORM ATI ON) *** ** ** ** ** *** ***
**** *** *** *** *( LI NE 2 4 R ESE RVE D FO R OP ER A TIN G S YS TE MS I NFO RM A TIO N) ** **** *** **

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MCS
CLAIMANT MAILING ADDRESS
Ln
No
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0
1
C
0
L
U
M
N
*
O
N
E
R
E
S
E
R
V
E
D

1
2
3
4
5
6
7
7
2345 678 901 234 56 78 9012 345 678 901 23 45 6789 012 345 678 90 12 3456 789 012 345 67 89 0123 456 789
MCS
CL AI MA NT M AIL ING AD DR ES S
CA DR SC9
NH: SSS SSS SSS S SS SS S SSS SSS SSS
CL: SS SS SS SSS SSS SS SSS SS SS SSS

*ADD RES S 1 : P PP PP PPPP PPP PPP PPP PP PP
ADD RES S 3 : P PP PP PPPP PPP PPP PPP PP PP
*CIT Y: PPP PPP PP PP PPPP PPP PPP PP
STAT E & CO UNT Y CO DE: PPP PPP

ADD RE SS 2: PPP PPP PPP PP PP PPPP PPP PP
ADD RE SS 4: PPP PPP PPP PP PP PP PP PPP PP
S TA TE: PP
Z IP: PPP PP
C OU NTY: XX XXX XXX XX XX XXX

COUN TRY : P PPP PP PP PPPP PPP PPP PPP P
FORE IGN PO STA L ZO NE: PPP PPP PPP PP PP PP
*BAN K A CCO UNT ( Y/ N): X

CO NSU LAR CO DE : PPP

*DI RE CT EXP RES S ( Y/N ): X

DIRE CT DEP OSI T RO UTIN G T RAN SIT N UM BER: 99 999 999 9
DEPO SIT OR ACC OU NT NUM B ER : 9 999 99 99 9999 999 99
DOME STI C P HON E: P PPPP PPP PP
ENTE R P HON E C OD E: P
1 =HO ME
5 =OT HER

AC COU NT TY PE (C/ S): A

FOR EI GN PHO NE: PP PPP PP PP PPPP PP
3 =N ONE
4 =UN KN OW N
7 =M OBIL E.
T RAN SF ER TO: XX XX
**** *** *** *** *( LI NE 2 3 R ESE RVE D FO R AP PL I CAT ION S IN FORM ATI ON ) *** ** ** **** *** ***
**** *** * ** *** *( LI NE 2 4 R ESE R VE D FO R OP ERA TIN G S Y S TE MS I NFO RMA TIO N) ** **** *** **
2=WO RK
6=AT TOR NEY

SCREEN FR
MSOM



Claimant Address Data (CADR) screen
This screen is used to capture information about the claimant’s mailing address and direct
deposit information. It will be required for all claim types and will propagate to the RPS
screens, if applicable. The screen allows for input of type of account (Bank Account or
Direct Express), direct deposit routing and transit numbers (RTN), type of account
(DDC), check digit code (CDC), and bank account number (DAN).

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Author889123
File Modified2012-07-19
File Created2012-07-19

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