I-3-0-94.Exhibit - Transcript Request

Last Update: 9/08/05 (Transmittal I-3-36)

TRANSCRIPT REQUEST

Routing Slip

TO:

Office of 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

================================================

TO: CONTRACTS STAFF

    ROOM 604 SKYLINE

OAO Approval ___________