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Chapter 25

Form 25-24

This letter is to be sent with the court decree dividing railroad retirement. Special provisions about documentation required by the Railroad Retirement Board are contained in 20 C.F.R. § 295.3.

Letter Forwarding Court [Decree/Order] Dividing Railroad Retirement

[Date]

General Counsel

U.S. Railroad Retirement Board

844 N. Rush Street

Chicago, IL 60611-1275

Re:    Certified [Decree/Order] Dividing Railroad Retirement Benefits of [name of employee]

[Salutation]

An original certified copy of the [decree/order] dividing railroad retirement benefits is enclosed with this letter. The following information is supplied in compliance with 20 C.F.R. section 295.3.

Railroad Employee

Full name: [name of employee]

Current address:

Social Security number:

Date of birth:

Former Spouse

Full name: [name of former spouse]

Current address:

Social Security number:

Date of birth:

No condition requiring termination has occurred under the law of Texas or under any condition under the decree. If any condition requiring termination does occur, the former spouse will immediately notify the Railroad Retirement Board. The former spouse agrees to repay any erroneous payment arising from the occurrence of any such condition.

Please notify me of the determination whether the [decree/order] qualifies as a [decree/order] that will be honored by the Railroad Retirement Board. Please inform me of the ratio­nale for any determination that the [decree/order] does not comply with 20 C.F.R. part 295.

My client and I look forward to hearing from you at your earliest convenience.

Sincerely yours,

   
[Name]
Attorney for [name of former spouse]

   
[Name of former spouse]