I-4-4-105.Exhibit - Court Case Route Slip

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

COURT CASE

[ ] EXCEPTIONS RECEIVED

[ ] FAVORABLE DEC. SAMPLE CASE

RE

(SSN)

FINAL AC ACTION

INTERMEDIATE

OTHER

[ ] DECISION

 

[ ] FAV UNF FF

 

[ ] REMAND

 

[ ] NOTICE DECLIN. TO TAKE JURIS.

 

[ ] PROPOSED DECISION

 

[ ] PROPOSED REMAND

[ ] MSS REF

[ ]

[ ] LETTER/MEMO

[ ] OTHER/NAN

ROUTING

ROOM

BLDG

INT

       
       
       
       
       
       
       

REMARKS

 

 

 

 

 

     

FROM

DATE

PHONE

BRANCH

ROOM