Last Update: 9/28/05 (Transmittal I-2-66)
ENCLOSURE TO LETTER TO UNREPRESENTED CLAIMANT
IMPORTANT NOTICE
IF YOU WANT A PRIVATE ATTORNEY to represent you, but have been unable to find one, you may obtain a private attorney by contacting one of the organizations shown below. The organization will refer you to a private practicing attorney who is familiar with representing claimants before the Social Security Administration. Some private attorneys may take your case under a fee arrangement whereby the attorney will not charge a fee unless your claim is allowed. The attorney must obtain approval from the Social Security Administration for any fees he or she charges.
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NAME AND ADDRESS OF ORGANIZATIONS |
SERVICES |
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(List Organization(s)) |
(Describe the Area(s) Serviced by the Organization(s)) |
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______________________ |
______________________________ |
IF YOU ARE NOT ABLE TO PAY FOR REPRESENTATION and you believe you might qualify for free legal representation, you should contact one of the following organizations:
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NAME AND ADDRESS OF ORGANIZATIONS |
SERVICES |
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(List Organization(s)) |
(Describe the Area(s) Serviced by the Organization(s)) |
|
______________________ |
______________________________ |
COMMUNITY ORGANIZATIONS which may provide you with nonattorney representation are as follows:
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NAME AND ADDRESS OF ORGANIZATIONS |
SERVICES |
|
(List Organization(s)) |
(Describe the Area(s) Serviced by the Organization(s)) |
|
______________________ |
______________________________ |