I-1-7-92.Exhibit - Class Action Case Flag - DDS Readjudication Necessary - Claims Not Consolidated

Claimant's Name:________________________________

SSN: ________________________________

This claimant is a _______ class member. The attached claim file(s) was forwarded to this hearing office for possible consolidation with a current claim.

_____ The Administrative Law Judge has determined that the prior and current claims do not share a common issue and, therefore, should not be consolidated.

OR

_____ The claims have not been consolidated because:

_______________________________________________________

_______________________________________________________

_______________________________________________________

Accordingly, we are forwarding the attached alert and prior claim file(s) to your location for any necessary readjudication action.

We are sending the alert and prior file(s) to:

• _______________________________________________________

  _______________________________________________________

  _______________________________________________________

  Destination code: _________