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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]
In an earlier letter dated [insert date], we told you that the Appeals Council decided on its own to review the Administrative Law Judge's decision dated [insert date]. We also told you that we [sent the case back to the Administrative Law Judge] OR [planned to make a decision] OR [made a decision in the case].
The Appeals Council has now received a request for review of the same hearing decision. The review of the case is the same whether the Council does the review on its own or at the request of the claimant. Therefore, we will take no separate action on the request for review.
You sent the following information with your request for review: [insert description of correspondence/additional evidence]. [We have sent that information to the Administrative Law Judge.] OR [We have made that information part of the record.]
If You Have Any Questions
If you have any questions, you may call, write, or visit any Social Security office. If you do call or visit an office, please have this notice with you. The telephone number of the local office that serves your area is [Insert area code and number of servicing Field Office]. Its address is:
[Field Office Address]
[City, State ZIP]
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[Name] | |
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Administrative Appeals Judge |
cc:
[Claimant's Name]
[Address]
[City, State
Zip]
[If claimant is unrepresented, letter will be addressed to claimant and “Re” line and “cc” will be deleted.]