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II-6-6-14. COR 22 Granting Second Extension of Time to Submit Evidence or Contentions

	SOCIAL SECURITY ADMINISTRATION _____________________________________________________________
	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]

This is about your request for another extension of time. We have again granted your request for more time before we act on your case.

You may send us more evidence or a statement about the facts and the law in this case.

We Will Not Act For 30 Days

If you have more information, you must send it to us within 30 days of the date of this letter. We will not allow more time to send information except for very good reasons.

Our address and FAX number are:

Put the Social Security Number shown at the top of this letter on your request.

If you send us anything by fax, do not send duplicates by mail. That may delay processing your claim.

What Happens Next

If we do not hear from you within 30 days, 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.

Enclosure
Self-addressed envelope

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.]

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