For each Repatriate case, send 3 copies of SSA 3955, Assistance For United States Citizens Returned From Foreign Countries, to the Repatriate Office of HHS. Send the SSA 3955 within 5 calendar days after the end of each calendar month.
When a repatriate no longer needs help, submit an SSA 3955 showing that it is the final claim. The SSA 3955 for the final claim must include the client's current address and the date and reason that benefits stopped. If all payments made on the case were included on previous SSA 3955s, enter "None" in "Estimated Further Claims".