Last Update: 9/28/05 (Transmittal I-2-68)
Social Security Administration
Office of Hearing and Appeals
City, State ZIP
This is in reference to the expert opinion which you furnished in the above case on (date) .
I am enclosing a copy of (describe the evidence) which was received after your (testimony) (answers to interrogatories) . This evidence indicates (describe any changes in the fact pattern indicated by the new evidence, and any changes it warrants in hypothetical questions or interrogatories previously posed to the expert witness) . Please notify me in writing by (date) whether or not this additional evidence changes your opinion.
For your convenience, I am also enclosing a postage paid, self-addressed envelope.
Administrative Law Judge
Postage Paid, Self-Addressed Envelope
cc: (claimant or representative)