I-3-1-92.Exhibit - Transcript Request

TRANSCRIPT REQUEST

Routing Slip

TO:

Director of Operations

Room 1400

Please have transcript prepared in case of

Claimant: ________________

A/N: ____________________

____#

Recordings for Transcript Preparation

Please Check Appropriate Reason for Transcript Request:

______

ALJ Bias Case (ALJ ________)

______

Claimant/Representative Request

Other: ______ AAJ approval (initial)

______ Unfair Hearing Allegation

______ Other Reason (Please Specify)

_______________________________

FROM:

______________________ (Name)

Branch ___________

Room ____________

Telephone _________

FOR OAO DEPUTY DIRECTOR'S OFFICE USE ONLY