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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]
The Appeals Council sets aside its [earlier action dated [insert date] denying your request for review of the Administrative Law Judge's decision] OR [decision dated [insert date]]. The Council has received your request for [copies of exhibits] [and] [duplicate recording(s)], which we received before the Appeals Council's action.
What Happens Next
We will send you the materials you asked for as soon as we duplicate them. You will have 25 days from the date we send you the materials you requested to send us more evidence or a statement about the facts and the law in this case. If we do not hear from you within that time, we will assume that you do not want to send us more information. We will then proceed with our action based on the record we have.
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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[Computer Generated Signature]
William C. Taylor 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.]