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SOCIAL SECURITY ADMINISTRATION _____________________________________________________________ | |
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Refer to: TAHB [SSN] [XSSN] |
Office of Hearings and Appeals 5107 Leesburg Pike Falls Church, VA 22041-3255] | |
Last Update: 9/1/05 (Transmittal II-6-13)
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SOCIAL SECURITY ADMINISTRATION _____________________________________________________________ | |
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Refer to: TAHB [SSN] [XSSN] |
Office of Hearings and Appeals 5107 Leesburg Pike Falls Church, VA 22041-3255] | |
[Representative's First Name, Middle Initial and Last
Name]
[Address]
[City, State
Zip]
Dear [Mr./Ms. [Representative's Last Name]]:
Re: [Claimant's Name and Address]
This is about your request for [a transcript] [and] [copies of the exhibits] in this case. If we send you this material, we are required to charge a fee because the total preparation cost will exceed $50.00.
To prepare a typed transcript from the hearing recording, there is a charge of $2.50 per page. The pages are double-spaced on letter size paper. We estimate that a typed transcript would be [insert page estimate] pages long; therefore, the charge would be $[insert amount].
[If this is a second request for copies of exhibits and the total charge for the materials will exceed $50, insert the following:]
Because you previously received copies of the exhibits, there is a 10-cent per page charge to prepare a second copy of each page of the exhibits. There are [insert number of exhibit pages] pages of exhibits; therefore, the charge would be $[insert amount]. We charge this fee only when the total cost of materials we provide is more than $50.00.
At no charge, we are sending [copies of the exhibits] [and] a duplicate recording which can be played on a standard cassette or compact disc player. If you still want a typed transcript, we will prepare it only after receiving a check or money order covering the cost of [the transcript] OR [both the transcript and the copies of the exhibits].
Please send a check or money order payable to the Social Security Administration to:
Travel and Payroll StaffPut the Social Security Number shown at the top of this letter on your request.
If we do not hear from you within 25 days, we will proceed with our action based on the record we have.
[If request for materials is post-adjudicative replace the above sentence with the following:]:
The Appeals Council will take no further action on this matter unless a transcript is ordered.
If You Have Any Questions
If you have any questions, you may call or write the Appeals Council. Our telephone number and address are shown at the top of this letter. If you do call, please have this notice with you.
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[Name] | |
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[Branch Chief] OR [Hearings and Appeals Analyst] OR [Paralegal Support Technician] OR [Legal Assistant] |
Enclosures:
[Photocopies of
exhibits]
[Duplicate
recording(s)]
Self-addressed
envelope
cc:
[Claimant's
Name]
[Address]
[City, State
Zip]
Travel and Payroll
Suite 406 Skyline Tower
[If claimant is unrepresented, letter will be addressed to claimant and “Re” line and “cc” will be deleted.]