I-4-3-105.Exhibit - Remand Cover Letter

Last Update: 9/13/05 (Transmittal I-4-15)

ssalogo.gif

SOCIAL SECURITY ADMINISTRATION

Refer to: TAHB

[SSN]

[XSSN]

Office of Hearings and Appeals
5107 Leesburg Pike
Falls Church, VA 22041-3255
Telephone: 703-605-8000
Date:

NOTICE OF ORDER OF APPEALS COUNCIL
REMANDING CASE TO ADMINISTRATIVE LAW JUDGE

[Addressee] [for] [NOTE: If there is no addressee entry, this line will not be generated]

[Claimant Name]

[Claimant Address1]

[Claimant Address2]

[Claimant CSZ]

[If there is a representative, the address block below, instead of the above, is generated.]

[Rep Name]

[Attorney at Law]

[Rep Firm]

[Rep Address1]

[Rep Address2]

[Rep CSZ]

Re: [Claimant Name] v. Commissioner of Social Security

    U.S.D.C. for the [User selects District, if appropriate] District of [State] [,] [Division]

    Civil Action Number [User keys in Number]

What This Order Means

[User chooses only one: Based on the court's order in the above action, we / 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 Address]

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 [FO Phone]. Its address is:

[FO Address]

[Judge Name1]

[Acting] Administrative Appeals Judge

[“cc:” lines below are generated only if there is a representative]

cc:

[Addressee] [for] [NOTE: If there is no addressee entry, this line will not be generated]

[Claimant Name]

[Claimant Address1]

[Claimant Address2]

[Claimant CSZ]