|
SOCIAL SECURITY ADMINISTRATION _____________________________________________________________ | |
|
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)
|
|
SOCIAL SECURITY ADMINISTRATION _____________________________________________________________ | |
|
Refer to: TAHB [SSN] [XSSN] |
Office of Hearings and Appeals 5107 Leesburg Pike Falls Church, VA 22041-3255] | |
NOTICE OF ORDER OF APPEALS COUNCIL
REMANDING CASE TO ADMINISTRATIVE
LAW JUDGE
[Claimant's First Name, Middle Initial and Last Name]
[Address]
[City, State Zip]
What This Order Means
We have 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.
In addition to what we ordered the Administrative Law Judge to do, the Administrative Law Judge may also do anything else needed to complete your claim.
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]
|
|
[Name] |
|
|
Administrative Appeals Judge |
cc:
[If there is a representative, insert:]
[Representative's Name]
[City, State Zip]
[Address]
RCALJ,
[Regional Office]