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] Telephone: 703-605-8000 Date: [Month, Day, Year] | |
NOTICE OF ORDER OF APPEALS COUNCIL
REMANDING CASE TO ADMINISTRATIVE
LAW JUDGE
[Representative's First Name, Middle Initial and Last
Name]
[Address]
[City, State
Zip]
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Re: |
[Claimant's Name] v. Commissioner of Social Security U.S.D.C. for the [select District, if appropriate] District of [State] [,] [Division] Civil Action Number [enter number] |
What This Order Means
[Based on the court's order in the above action, we] OR [We] have [again] sent your case back to an Administrative Law Judge. In the enclosed order, we explain why we did this and what the Administrative Law Judge will do about your claim.
We are forwarding the claim file to:
[HOCALJ Name]
Hearing Office Chief Administrative Law Judge
Office of Hearings and Appeals
[HO Mailing Address]
[City, State Zip]
What Happens Next
An Administrative Law Judge will contact you to tell you what you need to do.
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] Administrative Appeals Judge |
cc:
[Claimant's
Name]
[Address]
[City, State
Zip]
[If claimant is unrepresented, letter will be addressed to claimant and “cc” will be deleted.]