Sample in-office screens (current)

sample screen shots.pdf

Representative Payment Policies and Administrative Procedures for Imposing Penalties for False or Misleading Statements or Withholding of Information

Sample in-office screens (current)

OMB: 0960-0740

Document [pdf]
Download: pdf | pdf
MSSICS
ROBYN DOE

HOUSEHOLD COMPOSITION
PAGE
PERIOD BEGAN 05/01/2003 TRANSFER TO:

2 OF LHHC

NAME: ROBYN
LEE
DOE
SEX (M/F): M
BIRTHDATE (MMDDCCYY):
AGE:
DISABLED (Y/N/U): Y BLIND (Y/N/U): N
RELATIONSHIP TYPE: 01
STUDENT (Y/N):
MARRIED (Y/N):
SSN: 000000000
NAME:
SEX (M/F):
BIRTHDATE (MMDDCCYY):
AGE:
DISABLED (Y/N/U):
BLIND (Y/N/U):
RELATIONSHIP TYPE:
STUDENT (Y/N):
MARRIED (Y/N):
SSN:
NAME:
SEX (M/F):
BIRTHDATE (MMDDCCYY):
AGE:
DISABLED (Y/N/U):
BLIND (Y/N/U):
RELATIONSHIP TYPE:
STUDENT (Y/N):
MARRIED (Y/N):
SSN:
RELATIONSHIP TYPES

MSSICS
ROBYN DOE

1=CLAIMANT
2=SPOUSE 3=CHILD
6=PARENT DEEMOR CHILD 7=SPONSOR
9=SPONSOR DEP
10=OTH RELATIVE

4=FATHER 5=MOTHER
8=SPONSOR SPOUSE
11=NON RELATIVE

OWNED/RENTAL DATA
PAGE
PERIOD BEGAN 05/01/2003 TRANSFER TO:

1 OF LORD

1=THIS HOUSEHOLD MEMBER OWNS OR IS BUYING
2=THIS HOUSEHOLD MEMBER RENTS
3=NO ONE IN HOUSEHOLD OWNS OR RENTS
(CLAIMANT/ELIGIBLE SPOUSE ONLY)
4=DEEMOR (NOT LIVING WITH) OWNS OR RENTS (CLAIMANT/ELIGIBLE SPOUSE ONLY)
SELECT:
2

HOUSEHOLD MEMBER
ROBYN
L DOE

RELATIONSHIP
CLAIMANT

MSSICS
ROBYN DOE

RENTAL DATA
PERIOD BEGAN 05/01/2003

RENTAL PAYMENT:

PAGE 1 OF LRNT
TRANSFER TO:

300.00

FREQUENCY OF RENTAL PAYMENT: 1

1=MONTHLY
2=WEEKLY

3=DAILY
4=BI-WEEKLY

RENTAL LIABILITY VERIFIED (Y/N):
ANYONE IN HOUSEHOLD RELATED TO LANDLORD OR SPOUSE
AS PARENT OR CHILD (Y/N): N
CURRENT MARKET RENTAL VALUE:

VERIFIED (Y/N):

LANDLORD NAME:
ADDRESS:
TELEPHONE:
RENTAL SUBSIDY: 0000.00

MSSICS
ROBYN DOE

WAGES

EMPLOYER NAME: MCDONALDS
234234234
EMPLOYER ADDRESS: 33 MAIN ST
MD
CONTACT: MR. RON
FROM:

TO:

0503

0000

FREQ:
M

ALLEGED
AMOUNT:
1500.00

PAGE
TRANSFER TO:

1 OF IWAG

EIN:
CATONSVILLE
PHONE: 410 555 1212
REPORTED
AMOUNT:

VERIFIED
AMOUNT:

DEDUCTIONS
(Y):

POSTED
AMOUNT
1500.00

MSSICS
ROBYN DOE

OTHER INCOME OR SUPPORT NOT PREV MENTIONED
PAGE
TRANSFER TO:

SOURCE: FAMILY MEMBER
ADDRESS: COHOES NY 12047

ID: GIFT

CONTACT:

PHONE:

1 OF IOTH

SELECT INCOME TYPE RECEIVED: 13
1=ALASKA COUNTABLE LONGEVITY BONUS
2=ALASKA EXCLUDABLE LONGEVITY BONUS
3=ALASKA NATIVE CLAIMS DISTRIBUTION OVER $2000 PER YEAR
4=ASSISTANCE INVOLVING COMMUNITY SERVICE BLOCK GRANTS
5=AWARDS
6=CASH INHERITANCE
7=CERTAIN ADOPTION ASSISTANCE
8=CERTAIN AUSTRIAN SOCIAL INSURANCE PAYMENTS (NOT BASED ON WAGE
CREDITS)
9=CERTAIN FOSTER CARE PAYMENTS
10=EMERGENCY ASSISTANCE PAYMENTS (NOT INCOME OR ASSISTANCE BASED ON
NEED)
11=FELLOWSHIPS NOT USED FOR EDUCATIONAL BENEFIT
12=GAMBLING WINNINGS
13=GIFTS
14=GRANTS NOT USED FOR EDUCATIONAL BENEFIT
15=INDIAN FISHING RIGHTS INCOME
16=INDIAN TRIBAL FUNDS DISTRIBUTED TO INDIVIDUALS
17=IN-KIND INHERITANCE
18=IN-KIND REMUNERATION FOR WORK
19=INSURANCE PROCEEDS
20=JOB CORPS DEPENDENTS ALLOWANCE
21=JOB TRAINING PARTNERSHIP ACT
22=JURY DUTY
23=MONEY PAID TO RESIDENTS OF A PUBLIC INSTITUTION WHERE NO
EMPLOYER / EMPLOYEE RELATIONSHIP EXISTS
24=PAYMENTS DERIVED FROM INDIVIDUAL INTEREST IN INDIAN TRUST OR
RESTRICTED
LANDS (IN EXCESS OF $2000 A YEAR)
25=PRIZES

MSSICS
JOHN DOE

SOCIAL SECURITY

MSSICS
JOHN

1 OF ISSA

TRANSFER TO:

RECENT FILING (Y/N): N
FROM:
TO:
(MMYY)
1007
1007

PAGE

ALLEGED
AMOUNT:
0.00

DOE

TYPE OF PENSION: 04
1=MILITARY
2=STATE
DISABILITY
3=LOCAL
4=PRIVATE RETIREMENT

IF YES, DATE (MMYY):
VERIFIED
AMOUNT:

DEDUCTIONS
(Y):

ID:
POSTED
AMOUNT
0.00

PENSION INCOME
PAGE
TRANSFER TO:

TYPE:
(A, S)
A

1 OF IPEN

5=PRIVATE DISABILITY
6=UNION RETIREMENT

9=FOREIGN PRIVATE
10=INSURANCE

7=UNION DISABILITY
8=FOREIGN GOVERNMENT

11=ANNUITY
12=FEDERAL (NON-OPM)

SOURCE: WALMART
ADDRESS: GB

ID:

CONTACT:

PHONE:

FROM: TO:
FREQUENCY: (W,
ALLEGED
VERIFIED DEDUCTIONS
(MMYY)
BW,M,SM,BM,Q,SA,A)
AMOUNT:
AMOUNT:
(Y):
1108 0109
M
200.00
0409 0000
M
350.00
IF FREQUENCY NOT MONTHLY - DATE LAST/NEXT PAID (MMDDYY):

POSTED
AMOUNT
200.00
350.00

New Payee/Applicant Applications
RELA screen – Relationship Information screen
RPAY
TRANSFER TO: XXXX
RP: SSS-SS-SSSS

RELATIONSHIP INFORMATION
SSSSS SSSSSSSSSS

BN: SSS-SS-SSSS

RELA
SSSSS SSSSSSSSSS

HAVE YOU ESTABLISHED A BANK ACCOUNT FOR RECEIPT OF THESE PAYMENTS? (Y/N):
DO YOU WANT DIRECT EXPRESS?

(Y/N):

CHOOSE TYPE OF APPLICANT/REP PAYEE: 99
01. SELF
02. NATURAL OR ADOPTIVE FATHER
03. NATURAL OR ADOPTIVE MOTHER
04. NATURAL OR ADOPTIVE CHILD OR STEPCHILD
05. OTHER RELATIVE, SPECIFY:
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
06. OTHER, SPECIFY:
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

07.
08.
09.
10.
11.
12.

SPOUSE
STEPFATHER
STEPMOTHER
GRANDPARENT
ESSENTIAL PERSON
INSTITUTION

DO YOU HAVE PHYSICAL CUSTODY? (Y/N): X
DOES THE BENEFICIARY/RECIPIENT HAVE A COURT APPOINTED LEGAL GUARDIAN? (Y/N): X
IF YES, ARE YOU THE LEGAL GUARDIAN? (Y/N): X
IF NOT SELF/RELATIVE, WHEN DID YOU MEET THE
BENEFICIARY/RECEPIENT? (MMYYYY): 999999
******************************************************************************
If the rep payee is an institution the heading will be:
RP: SSSSS

SSSSSSSSSSSSSSSSSSSSSS

BN: SSS-SS-SSSS

SSSSS SSSSSSSSSS

The “DO YOU WANT DIRECT EXPRESS?” is the new question added to this screen.
If the answer is “Y” to Direct Express question, then on the RPDA screen the unique RTN “072413133”,
Type of Account: C, and the DAN “DIRECTEXPRESS” or whatever wording policy decides will display.
If the answer is “N” to Direct Express question, then “I do not want a direct express account” will print out
on the SSA-11 application.

Page 1 of 8

Relationship (RELA) Help Screen:
The Relationship Help screen should be as follows. This screen is provided through a
link on the RELA Screen. PF1 is the help key.
RELA – RELATIONSHIP INFORMATION HELP SCREEN
Help Screen for Relationship Information Screen (RELA) MSOM: RPS 002.009
The RELA screen currently collects relationship and direct deposit information.
The direct express program will be added to the RELA screen as of September 2008.
THIS HELP SCREEN WILL DESCRIBE THE NEW DIRECT EXPRESS PROCESS:
o
o

A new direct express question has been added to the RELA screen.
Cannot have direct deposit and direct express at the same time.

o

If the direct express option is selected on the RELA by answering “Y” to the “DO
YOU WANT DIRECT EXPRESS?”, then once the RELA screen has been completed, the Direct
Deposit Application (RPDA) screen will display.

o

The RPDA screen will display the direct express unique routing and transit number
(RTN), 072413133, Type of Account, “C” and a unique depositor account number
(DAN),”DEC” in read only mode.

o

All entitlements will be automatically selected.

o

If the rep payee does not want all entitlements to go to direct express, or wants
all entitlements to go on one direct express account, then PF7 out of the RPDA
screen and change the “DO YOU WANT DIRECT EXPRESS?” question to “N” on the RELA
screen and have the rep payee contact Comerica Bank directly.

o

For the entire process refer to MSOM RPS 002.009.

RPDA screen - DIRECT DEPOSIT APPLICATION
No help screen is needed

RPAY
DIRECT DEPOSIT - APPLICATION
TRANSFER TO: XXXX
RP: SSS-SS-SSSS SSSSS SSSSSSSSSS
BN: SSS-SS-SSSS

RPDA
SSSSS SSSSSSSSSS

DIRECT DEPOSIT ROUTING AND TRANSIT NUMBER: 072413133
S: SAVINGS
TYPE OF ACCOUNT: C C: CHECKING
ACCOUNT NUMBER: DIRECTEXPRESSXXXXXXX
CHOOSE FOR THE ENTITLEMENT LISTED BELOW:
1
THE ABOVE DIRECT DEPOSIT DATA APPLIES
2
OTHER DIRECT DEPOSIT DATA APPLIES
3
DIRECT DEPOSIT DOES NOT APPLY
ACCOUNT NUMBER
SSSSSSSSS
SSSSSSSSS
SSSSSSSSS
SSSSSSSSS

BIC/ID
SSS
SSS
SSS
SSS

TITLE 2/16
SS
SS
SS
SS

CHOICE
X
X
X
X

SELECTION STATUS
SS
SS
SS
SS

NOTE: You will receive 1 debit card for each entitlement. If you want 1 debit

Page 2 of 8

Card for multiple entitlements, please (PF7) back to the RELA screen and
change the answer to “N” on Do you want Direct Express?” and contact
Comerica Bank directly.

*****************************************************************************

NOTE:

If the rep-payee is an institution, the heading will be displayed as:
RP SSSSS

SSSSSSSSSSSSSSSSSSSSSS

RPLD - PAYMENT LEGEND AND ADDRESS
This screen displays in the selection process.
No help screen needed.
|--------------------------------------------------------------------------------|
|RPAY
PAYMENT LEGEND AND ADDRESS
RPLD |
|
TRANSFER TO : XXXX
|
|
RP: SSS-SS-SSSS SSSSS SSSSSSSSSS
BN: SSS-SS-SSSS SSSSS SSSSSSSSSS
|
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LEGEND NAME: PPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPP
|
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CHOOSE LEGEND OPTION: 9
|
2. N/A
3. FOR
4. GDN OF
|
|
1. N/A
|
5. CONS OF
6. COM OF
7. OTHER
|
|
IF OPTION IS 7, THEN XXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXX
|
| PAYMENT ADDRESS: PPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPP
|
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PPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPP
|
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CITY: PPPPPPPPPPPPPPPPPPPPPP STATE: PP
ZIP: PPPPP
|
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STATE AND COUNTY CODE: PPPPPP
DISTRICT OFFICE CODE: PPP
|
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COUNTRY: PPPPPPPPPPPPPPPPPPPPPP POSTAL ZONE: PPPPPPPPPPPPPPP
|
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CONSULAR CODE: PPP
|
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CHOOSE WHO THIS LEGEND AND ADDRESS IS FOR:
|
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ACCOUNT
TITLE
BIC/
|
|
BOAN
NUMBER
2/16
ID
BN NAME
CHOICE
|
| 1.SSS-SS-SSSS
SSS-SS-SSSS
SS
SSS
SSSSS SSSSSSSSSS
X
|
| 2.SSS-SS-SSSS
SSS-SS-SSSS
SS
SSS
SSSSS SSSSSSSSSS
X
|
| 3.SSS-SS-SSSS
SSS-SS SSSS
SS
SSS
SSSSS SSSSSSSSSS
X
|
|
MORE (Y/N) X DIRECT DEPOSIT (Y/N): X
DIRECT EXPRESS (Y/N): X
|
|
T2 PE SYSTEMS LIMITATION (Y/N): X
|
| ****************************************************************************** |
|
|
|--------------------------------------------------------------------------------|

RPDD-DIRECT DEPOSIT
This screen displays after the (Payment and Legend screen) RPLD in the selection process.
|--------------------------------------------------------------------------------|
|RPAY
DIRECT DEPOSIT
RPDD |
|
TRANSFER TO : XXXX
|
|
RP: SSS-SS-SSSS SSSSS SSSSSSSSSS
BN: SSS-SS-SSSS SSSSS SSSSSSSSSS
|
|
|
|
DIRECT DEPOSIT ROUTING AND TRANSIT NUMBER: 999999999
|
|
TYPE OF ACCOUNT: X
C: CHECKING
S: SAVINGS
|
|
ACCOUNT NUMBER: XXXXXXXXXXXXXXXXXX
|
|
|
CHOOSE FOR THE ENTITLEMENT LISTED BELOW:
|
1
THE ABOVE DIRECT DEPOSIT DATA APPLIES
|
|
|
2
OTHER DIRECT DEPOSIT DATA APPLIES
|
|
3
DIRECT DEPOSIT DOES NOT APPLY
|
|
| BOAN
BN NAME
BIC/ID
TITLE 2/16
CHOICE
|
| SSS-SS-SSSS SSSSS SSSSSSSSSSS
SSS
SS
X
|
| SSS-SS-SSSS SSSSS SSSSSSSSSSS
SSS
SS
X
|
| SSS-SS-SSSS SSSSS SSSSSSSSSSS
SSS
SS
X
|
| SSS-SS-SSSS SSSSS SSSSSSSSSSS
SSS
SS
X
|
| SSS-SS-SSSS SSSSS SSSSSSSSSSS
SSS
SS
X
|
| SSS-SS-SSSS SSSSS SSSSSSSSSSS
SSS
SS
X
|
| SSS-SS-SSSS SSSSS SSSSSSSSSSS
SSS
SS
X
|
| SSS-SS-SSSS SSSSS SSSSSSSSSSS
SSS
SS
X
|
|
MORE (Y/N): P
|

Page 3 of 8

|********************************************************************************|
|--------------------------------------------------------------------------------|

If the applicant/payee has selected Direct Express on the RELA screen, then the direct express
information from the RPDA should propagate to the RPDD in “read only” view. Or
If the applicant/payee selects Direct Express on the RPLD screen, then the Direct Express
information will propagate to the RPDD in “read only” view.

Direct Deposit (RPDD) Help Screen:
The Direct Deposit Help Screen should be as follows. This screen is provided through
help key on the RPDD Screen. PF1 is the help key.

RPDD – REPRESENTATIVE PAYEE DIRECT DEPOSIT SCREEN
Help Screen for Rep Payee Direct Deposit Screen (RPDD) MSOM: RPS 003.003
The direct deposit screen is currently used to list all beneficiaries/entitlements
chosen direct deposit on RPDA or RPLD. The direct express program will be added to the
RPDD screen as of September 2008.
This screen displays after the (Payment and Legend screen) RPLD in the selection process.
The RPDD builds individual direct deposit data for each beneficiary/recipient. However,
if multiple beneficiaries are chosen on RPLD, the CR has the option of inputting one
direct deposit screen.
THIS HELP SCREEN WILL DESCRIBE THE NEW DIRECT EXPRESS PROCESS:
o If direct express is selected on the(RELA) or RPLD screen, then the direct
express information from the Direct Deposit Application (RPDA) or RPLD screen will
be displayed on the Direct Deposit (RPDD) screen in “read only” view.
o

The CR must inform applicant/rep payee that they will receive 1 card for each
beneficiary/recipient account.

o

If the applicant/rep payee decides they do not want direct express, the CR must PF7
back to the RPLD screen and change direct express question to “N”.

o

For the entire process refer to MSOM RPS 003.003

For Active Records- PE Event
RDDU
|------------------------------------------------------------------|
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RPAY PF1 = HELP
RP:

REPRESENTATIVE PAYEE DIRECT DEPOSIT UPDATE

SSSSS SSSSSSSSSSSSSSSSSSSS

ENTER OPTION TO VIEW BENEFICIARIES: 3
1. WITH NO BANK INFORMATION
2. UNDER SPECIFIC BANK INFORMATION
3. ALL ASSOCIATED BENEFICIARIES
FOR OPTION 2, ENTER THE OLD BANK INFORMATION
OLD BANK INFORMATION:
DIRECT DEPOSIT ROUTING AND TRANSIT NUMBER:
TYPE OF ACCOUNT:
ACCOUNT NUMBER:

X
C: CHECKING
XXXXXXXXXXXXXXXXXX

999999999
S:

ENTER NEW BANK INFORMATION:
DIRECT DEPOSIT ROUTING AND TRANSIT NUMBER:
TYPE OF ACCOUNT: X
C: CHECKING
ACCOUNT NUMBER:
DIRECTEXPRESSXXXXXXX
INDICATE ORDER OF LIST OF BENEFICIARIES:
1. ALPHABETICAL
2. ACCOUNT NUMBER

SAVINGS

999999999
S:
SAVINGS

1

Page 4 of 8

3.

BOAN

RDDU |
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|
MORE? (Y/N): X |
| ******************************************************************************
|
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|-----------------------------------------------------------------------------------|

User will enter this screen through (2/08) RPDU option 15. If the applicant wants Direct Express, the CR
will type the unique DAN “DIRECTEXPRESS” in the Account field, and proceed as normal. The system
program will send the ACCT Number along with the Unique RTN and Type of Account to the MBR/SSR.
When the user comes back to this screen the ACCT Number, Unique RTN and Type of Account will
display on screen.

Direct Deposit Update (RDDU) Help Screen:
The Direct Deposit Update Help Screen should be as follows. This screen is provided through a help key
on the RDDU screen. PF1 is the help key.
RDDU

-

REPRESENTATIVE PAYEE DIRECT EXPRESS UPDATE HELP SCREEN

Help Screen for Rep Payee Direct Deposit Update and Direct Express (RDDU) MSOM: RPS
005.008
Direct Deposit Update Screen is currently used to enroll or Update direct deposit
account Information for individual or organizational rep payees. The direct express
program will be added to the RDDU screen as of September 2008.
THIS SECTION WILL DESCRIBE THE NEW DIRECT EXPRESS PROCESS:
o

If the applicant/rep payee wants direct express, the CR will enter the following:

o

“3” in Enter Option to View Beneficiaries” field

o

The unique Depositor Account Number (DAN) “DEC” in the Account field, and proceed
as normal.

o

The system will prefill the unique RTN, Account Number and Type of Account “C” to
the RDDU upon re-entry.

o

If the applicant/rep payee enters the account number field as “DEC” and “Enter
Option to View Beneficiaries” field value is either 1 or 2 then error message will
display. The value should be 3 always.

o

For the entire process refer to MSOM RPS 005.008.

THIS SECTION WILL DESCRIBE THE REPRESENTATIVE PAYEE DIRECT DEPOSIT UPDATE
This process will send a finder (transaction) for direct deposit changes or enrollments
to the MBR/SSR.If an active MSSICS pending file exists; the change to the SSR will
update the pending file).
The direct deposit action can be made to different categories of beneficiaries, who
have an active relationship to the specified Representative Payee and have complete
data within the MRPF. The categories are selected using the following options:
1.
2.
3.

WITH NO BANK INFORMATION = a list of all beneficiaries (T2/T16)
who do not have a bank account.
WITH SPECIFIC BANK INFORMATION = a list of beneficiaries
(T2/T16), who have the bank account entered in 'OLD BANK
INFORMATION'.
ALL ASSOCIATED BENEFICIARIES = a list of all beneficiaries
(T2/T16), with or without direct deposit data in the MRPF.

After completing 'INDICATE ORDER OF LIST', the list of beneficiaries will be shown as
requested.
If the list of beneficiaries exceeds 50, management authorization, using the RDDA
Screen is need to effect the change or enrollment.

Page 5 of 8

RDDC - No changes
|--------------------------------------------------------------------------------|
| RPAY
REPRESENTATIVE PAYEE DIRECT DEPOSIT CONTINUATION
RDDC |
|
|
|
RP: SSSSS SSSSSSSSSSSSSSSSSSSSS
|
|
DIRECT DEPOSIT RTN: OLD: SSSSSSSSS
NEW: 072413133
|
|
TYPE OF ACCOUNT:
S
C
|
|
ACCOUNT NUMBER:
SSSSSSSSSSSSSSSSSS
DIRECTEXPRESSSSSSSS |
|
KEY AN "X" NEXT TO THE BENEFICIARIES WHOSE DIRECT DEPOSIT HAS CHANGED
|
|
TITLE
BOAN
ACCOUNT NUMBER
BIC/ID
BN NAME
CHOICE |
|
SS
SSS-SS-SSSS
SSS-SS-SSSS
SSS
SSSSS SSSSSSSSSS
|
|
SS
SSS-SS-SSSS
SSS-SS-SSSS
SSS
SSSSS SSSSSSSSSS
|
|
SS
SSS-SS-SSSS
SSS-SS-SSSS
SSS
SSSSS SSSSSSSSSS
|
|
SS
SSS-SS-SSSS
SSS-SS-SSSS
SSS
SSSSS SSSSSSSSSS
|
|
SS
SSS-SS-SSSS
SSS-SS-SSSS
SSS
SSSSS SSSSSSSSSS
|
|
SS
SSS-SS-SSSS
SSS-SS-SSSS
SSS
SSSSS SSSSSSSSSS
|
|
SS
SSS-SS-SSSS
SSS-SS-SSSS
SSS
SSSSS SSSSSSSSSS
|
|
SS
SSS-SS-SSSS
SSS-SS-SSSS
SSS
SSSSS SSSSSSSSSS
|
|
SS
SSS-SS-SSSS
SSS-SS-SSSS
SSS
SSSSS SSSSSSSSSS
|
|
SS
SSS-SS-SSSS
SSS-SS-SSSS
SSS
SSSSS SSSSSSSSSS
|
|
SS
SSS-SS-SSSS
SSS-SS-SSSS
SSS
SSSSS SSSSSSSSSS
|
|
SS
SSS-SS-SSSS
SSS-SS-SSSS
SSS
SSSSS SSSSSSSSSS
|
|
SS
SSS-SS-SSSS
SSS-SS-SSSS
SSS
SSSSS SSSSSSSSSS
|
|
MORE? (Y/N): X|
| ****************************************************************************** |
|
|
|--------------------------------------------------------------------------------|

The Unique RTN, Type of Account and ACCT Number will display from the RDDU screen.
RDDD – DELETE DIRECT DEPOSIT
RPAY

DELETE DIRECT DEPOSIT

RDDD
UNIT:

RP: SSS-SS-SSSS

SSSSS SSSSSSSSSS

ENTITLED ON SSN:

SSS-SS-SSSS

BIC/ID:

TITLE:

SSS

BN:

BIC/ID:

SSSSSSSSS

ACCT NO:

(Y/N):

SS

SSS-SS-SSSS
TITLE:

SS

DIRECT DEPOSIT DATA
TYPE:

S

RTN:

SSSSSSSSSSSSSSS

DELETE ACCOUNT?

SSSSS

SSSSS SSSSSSSSSS

ENTITLED ON SSN:

SS

DIRECT DEPOSIT DATA
RTN:

SSS-SS-SSSS

SSSSSSSSS

ACCT NO:

P

TYPE:

DELETE ACCOUNT?

(Y/N):

P

ENTITLED ON SSN:

SSS-SS-SSSS

ENTITLED ON SSN:

SSS-SS-SSSS

BIC/ID:

TITLE:

BIC/ID:

TITLE:

SS

SS

DIRECT DEPOSIT DATA
RTN:

SSSSSSSSS

ACCT NO:
DELETE ACCOUNT?

SS

SS

DIRECT DEPOSIT DATA
TYPE:

S

RTN:

SSSSSSSSSSSSSSS
(Y/N):

S

SSSSSSSSSSSSSSS

SSSSSSSSS

ACCT NO:

P

DELETE ACCOUNT?

Only the text on this screen has been changed.

Page 6 of 8

TYPE:

SSSSSSSSSSSSSSS
(Y/N):

P

S

The Direct Deposit or Direct Express Accounts will display to this screen. The user has the ability to
delete the direct deposit account or the direct express account.

RPPI – REP PAYEE PAYMENT INFORMATION
Change of Rep Payee Payment Address screen updates the individual payee’s payment and direct
deposit data within MRPF and SSI systems.
|--------------------------------------------------------------------------------|
|RPAY
PF1 = HELP
REP PAYEE PAYMENT INFORMATION
RPPI |
|
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|
RP: SSS-SS-SSSS
SSSSS SSSSSSSSSS
|
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BN: SSS-SS-SSSS SSSSS SSSSSSSSSS ACCOUNT NUMBER: SSS-SS-SSSS BIC/ID: PPP|
|
DOES THE BENEFICIARY LIVE WITH YOU (Y/N)?: X
|
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IF NECESSARY, UPDATE PROPAGATED DATA BELOW BY OVERKEYING
|
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LEGEND NAME: PPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPP
|
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LEGEND OPTION: X
|
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1. N/A
2. N/A
3. FOR
4. GDN OF
|
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5. CONS OF
6. COM OF
7. OTHER
|
|
IF OPTION IS 1 OR 7, THEN XXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXX
|
|
ADDRESS: PPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPP
|
|
PPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPP
|
|
CITY: PPPPPPPPPPPPPPPPPPPPPP STATE: PP ZIP: PPPPP CONSULAR CODE: XXX |
|
STATE AND COUNTY CODE: PPPPPP
DISTRICT OFFICE CODE: PPP
|
|
COUNTRY: PPPPPPPPPPPPPPPPPPPPPP POSTAL ZONE: PPPPPPPPPPPPPPP
|
|
|
|
DIRECT DEPOSIT ROUTING AND TRANSIT NUMBER: PPPPPPPPP
|
|
TYPE OF ACCOUNT: P
C: CHECKING
S: SAVING
|
|
ACOOUNT NUMBER: PPPPPPPPPPPPPPPPP
|
|
DELETE ACCOUNT (Y/N)?: N
MORE (Y/N): P |
| ****************************************************************************** |
|
|
|--------------------------------------------------------------------------------|

Current process:
RPPI screen prefilled RP data from MRPF but can be over-keyed.
If Direct Deposit data has been entered in RPDA screen it will pre-filled to this screen.
The applicant can also add/enroll in direct deposit while updating payment legend address.
The applicant can also update/delete direct deposit data
New Process: Need to add Direct Express functionality to this screen.
If the applicant wants Direct Express, the CR will type the unique DAN “DIRECTEXPRESS”, and proceed
as normal. The system program will send the ACCT Number along with the Unique RTN and Type of
Account to the MBR/SSR. When the user comes back to this screen the ACCT Number, Unique RTN
and Type of Account will display on screen.
If Direct Express data has been entered in RPDA screen it will pre-filled to this screen.

If DIRECT-DEPOSIT-DELETE (DELETE ACCOUNT) answer = Y, delete DRDEPAN,
DRDEPRTN, DRDPTYP from the R3 record.

Page 7 of 8

Payment Information (RPPI) Updated Help Screen:
Currently there is a help screen for RPPI. The following text needs to be added to the help screen. The
Payment Information Help Screen should be as follows. This screen is provided through a link on the
RPPI screen. PF1 is the help key.
RPPI – REPRESENTATIVE PAYEE PAYMENT INFORMATION (Payment Address and Direct
Express Data) SCREEN
Help Screen for Rep Payee Payment Information (RPPI) MSOM: RPS 005.007
Change of rep payee Payment Address screen currently updates the individual
payee’s payment and direct deposit data within Master Representative Payee File
(MRPF) and (Supplemental Security Income) SSI systems. RPPI is prefilled with the
representative payee data from MRPF and can be over keyed. The direct express
program will be added to the RPPI screen as of September 2008.
THIS SECTION DESCRIBES THE NEW DIRECT EXPRESS PROCESS:
o

The following question has been changed from “Delete Direct Deposit
(Y/N):” to “Delete Account (Y/N):” on the rep payee Payment Information
screen. The CR will have the ability to delete direct deposit or direct
express accounts.

o

If the applicant/rep payee wants direct express, the CR (Field Office
Technician) will type the Unique Depositor Account Number (DAN), “DEC”,
and proceed as normal.

o

When the CR comes back to this screen the Account Number, Unique RTN and
Type of Account will be displayed on the screen.

o

If direct express data has been entered in Direct Deposit Application
(RPDA) screen, then the data will be prefilled to this screen.

o

For the entire process refer to MSOM RPS 005.007.

THIS SECTON DESCRIBES THE CHANGE OF REP PAYEE PAYMENT ADDRESS:
o

The RPPI Screen was designed to maintain the integrity of Payment Address
and Direct Deposit data within the MRPF and the SSI System.

o

RPPI is prefilled with representative payee data from MRPF and can be over
keyed.

o

The data on RPPI will update the MRPF after entering.

o

Use of the RPPI does not create a finder (transaction) and will not
automatically update the MBR/SSR.

o

To use the data to update the SSR, an event in MSSICS must be
opened/closed and the action taken to seed the SSR.

Page 8 of 8


File Typeapplication/pdf
File TitleMSSICS HOUSEHOLD COMPOSITION PAGE 2 OF LHHC
Author533350
File Modified2012-10-02
File Created2010-01-13

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