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I-1-2-105. Exhibit - Sample Acknowledgment Letter— Request for Administrative Review—Fee Agreement or Fee Petition Received by Wrong Office and Forwarded to Correct Office

Letter to Representative

We are writing about your letter postmarked (date). You asked us to raise the fee amount we said you can charge for work on (claimant's name)'s claim.

What We Have Done

We have sent your letter to [enter (1) individual or component delegated the authority to conduct the review and (2) address]. (He/She or Someone in that office) will consider your request. If you want more information or have questions about your request, please write to that office.

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