I-4-2-99.Exhibit - LOTS-Generated Court Case Control and Routing Slip

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

COURT CASE CONTROL AND ROUTING SLIP

NEW COURT CASE

Circuit:

NAME:

SSN:

USDC:

DATE SUIT FILED:

DATE SERVED:

DATE RECEIVED:

DATE ASSIGNED:

ASSIGNED TO:

ROUTING

TO

LOCATION

INITIALS

DATE

1.

2.

3.

4.

5.

6.

7.

8.

REMARKS:

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Issues: 1)                2)                          Impairments: 1)               2)

FROM:                                                                    DATE:

TELEPHONE NUMBER:                     CCPRB_                     Section_              ROOM: