CP&P 10-4
(new 6/2013)
[Date]
TO:
SOCIAL SECURITY ADMINISTRATION
FOR: [Enter name of parent or designated caregiver]
(Parent or Designated Caretaker)
To Whom It May Concern:
This letter is to advise you that the State of New Jersey, Department of Children and Families’ Division
of Child Protection and Permanency (CP&P) should no longer be representative payee for the below
referenced child. As of [Date], this child is not in an out-of-home placement, and, therefore, the child’s
parent or designated caretaker should file for Social Security benefits on the child’s behalf.
RE:
THE CHILD:
Name
[Child's name]
Social Security #
[Child's SS#]
Date of Birth
[mm/dd/yyyy]
Court Order #
[Court Order #]
If you have any questions or concerns, please contact the DCF Office of Revenue, Financial Reporting,
and IV-E Operations at (609) 888-7520.
Sincerely,
________________________________
[Worker's name, title]
________________________________
[Supervisor's name, title]
c. [Title IV-E Reviewer assigned to the Local Office], Title IV-E Reviewer