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Notice of Denial of Benefits/Negative Change in Benefits

Assigned number Title Release date File type Language Available to order
F-16001 Notice of Denial of Benefits/Negative Change in Benefits 05/25/2018 Word English No
F-16001AR Notice of Denial of Benefits/Negative Change in Benefits, Arabic 05/25/2018 PDF Arabic No
F-16001CM Notice of Denial of Benefits/Negative Change in Benefits, Chinese (Simplified) 05/25/2018 PDF Chinese (Simplified) No
F-16001G Notice of Denial of Benefits/Negative Change in Benefits, German 05/25/2018 PDF German No
F-16001H Notice of Denial of Benefits/Negative Change in Benefits, Hmong 05/25/2018 PDF Hmong No
F-16001L Notice of Denial of Benefits/Negative Change in Benefits, Laotian 05/25/2018 PDF Lao No
F-16001R Notice of Denial of Benefits/Negative Change in Benefits, Russian 05/25/2018 PDF Russian No
F-16001SO Notice of Denial of Benefits/Negative Change in Benefits, Somali 05/25/2018 PDF Somali No
F-16001S Notice of Denial of Benefits/Negative Change in Benefits, Spanish 05/25/2018 Word Spanish No

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Last revised February 9, 2026