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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] | |
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MEMORANDUM TO: |
Social Security Office [Insert mailing address] |
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FROM: |
Office of Appellate Operations Branch[#] |
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SUBJECT: |
Request for Assistance in Pending Request for Review - ACTION Claimant: [Insert Claimant's Name] Social Security Number: [Insert SSN] Last Known Address: [Insert Claimant's Address] Last Known Phone No.: [Insert Claimant's Phone No.] |
The U.S. Postal Service has returned a notice addressed to the claimant marked [identify information from post office].
Please ascertain the claimant's current address from the U.S. Postal Service, your local directories or other readily available sources and return this information to us as soon as possible.
Our address and FAX number are:
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ADDRESS: |
Appeals Council Office of Hearings and Appeals ATTN: Branch [#], Suite [#] 5107 Leesburg Pike Falls Church, VA 22041-3255 |
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FAX: |
[FAX #], Attn: Branch [#]. |
Please include the claimant's Social Security Number on all correspondence.
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[Name] | |
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[Branch Chief] OR [Hearings and Appeals Analyst] OR [Paralegal Support Technician] OR [Legal Assistant] |
Attachment:
Social Security Office Response
SOCIAL SECURITY FIELD OFFICE RESPONSE
ATTENTION: BRANCH
[#], Suite [#]
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__________________________ |
__________________________ |
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Claimant |
SSN |
[ ] We were unable to find any other address.
[ ] The claimant's current address is:
_________________________________________________
_________________________________________________
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__________________ |
_________________________________________ |
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Date |
Employee Name |