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II-6-6-28. COR 29 Notice to Claimant/Representative Re Unsigned Medical Report (Use with COR 28)

	SOCIAL SECURITY ADMINISTRATION _____________________________________________________________
	Refer to: TAHB [SSN] [XSSN]	Office of Hearings and Appeals 5107 Leesburg Pike Falls Church, VA 22041-3255]

[Representative's First Name, Middle Initial and Last Name]
[Address]
[City, State Zip]

Dear [Mr./Ms. [Representative's Last Name]]:

Re: [Claimant's Name and Address]

In reviewing this case, we learned that the enclosed medical report was not properly signed. We are sending the report to the [physician] OR [psychologist] for review and signature.

If the report is changed in any way, the Appeals Council will allow you the opportunity to comment on the changes.

If You Have Any Questions

If you have any questions, you may call or write the Appeals Council. Our telephone number and address are shown at the top of this letter. If you do call, please have this notice with you.

Enclosures:
[Medical report dated [insert date]]

cc:
[Claimant's Name]
[Address]
[City, State Zip]

[If claimant is unrepresented, letter will be addressed to claimant and “Re” line and “cc” will be deleted.]

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