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] | |
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MEMORANDUM TO: |
Administrative Law Judge [insert name] [Insert HO mailing address] |
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FROM: |
Appeals Council |
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SUBJECT: |
Reopening Issue ACTION Claimant: [Insert Claimant's Name] Social Security Number: [Insert SSN] |
The Appeals Council [denied] OR [dismissed] the claimant's request for review and advised the claimant that a request for reopening would be referred to the Administrative Law Judge for further action. A copy of the Appeals Council's notice is attached.
Your decision dated [insert date] establishes disability beginning [insert established onset date] based on [an] application[s] filed on [insert application(s) date(s)]. However, the claimant filed [a] prior application[s] on [insert date(s)]. The claimant has requested reopening and revision to permit entitlement and payment based on the prior application[s].
Please consider and rule on the claimant's request for reopening, providing appropriate rationale for your ruling consistent with 20 CFR 404.987 - 989 and/or 20 CFR 416.1487 - 1489; HALLEX I-2-9-40, I-2-9-70 and I-2-9-80.
The Appeals Council is retaining the claim file for at least 120 days because the claimant may file a civil action. If you find that you are unable to rule on the request for reopening without the claim file, please call Branch [#] at [insert phone number] to make arrangements to obtain the file or a copy of it.
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[Name] | |
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Administrative Appeals Judge |
Attachment[s]:
Copy of Appeals Council
Notice/Order
[Identify evidence/information
being referred]
cc:
RCALJ, [Enter city and
state]
[Claimant's Name]
[Address]
[City, State
Zip]
[If there is a representative,
insert]:
[Representative's
Name]
[Address]
[City, State Zip]