I-1-7-90.Exhibit - Sample Court Case Flag/Alert

Last Update: 9/14/05 (Transmittal I-1-56)

REVIEW  PSC  DOC  TOE  ALERT DATE  RESPONSE DATE  OLD BOAN/PAN

OFFICE

SSN (BOAN OR PAN)     NAME    BIRTH DATE       EFERENCE #

                      FOLDER LOCATION INFORMATION

CAN/HUN    BIC/MFT     CATG   TITLE   SITE   COMP DATE   ACN

PAYEE ADDRESS
ALL CLAIM FILE(S) SHOULD BE SHIPPED TO THE FOLLOWING ADDRESS FOR SCREENING:
OHA Class Action Coordinator
Office of Hearings and Appeals
Office of Appellate Operations
5107 Leesburg Pike, Room 1400
Falls Church, VA 22041-3200

(Case Locator Code Y46)

IF UNABLE TO LOCATE THE CLAIM FILE(S), FORWARD A RECONSTRUCTION REQUEST TO THE SERVICING FIELD OFFICE.

*NOTE: A separate screening sheet must be prepared for each CAN/HUN printed above.