Last Update: 9/1/05 (Transmittal II-6-13)
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SOCIAL SECURITY ADMINISTRATION _____________________________________________________________ | |
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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]
[We received] OR [Earlier, we prepared] a Form HA-520, Request for Review of Hearing Decision/Order in this case.
We have now learned that [action on a request for hearing is not complete] OR [the correct appeal should have been a request for reconsideration or hearing].
The Appeals Council cannot review a case until final action is taken on a request for hearing. Therefore, Form HA-520 was completed in error.
[If hearing is still pending, insert:]
You may contact the Hearing Office [HO address], phone [HO telephone number], regarding the status of the request for hearing.
[If appeal should have been reconsideration or hearing request, insert:]
The Form HA-520 will be treated as a request for [reconsideration] OR [hearing]. We are sending it to [insert full name and address of the component] for action. You will receive a separate letter from that office about this appeal.
If You Have Any Questions
If you have any questions, you may call, write, or visit any Social Security office. If you do call or visit an office, please have this notice with you. The telephone number of the local office that serves your area is [Insert area code and number of servicing Field Office]. Its address is:
[Field Office Address]
[City, State ZIP]
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[Name] [Hearings and Appeals Analyst] OR [Branch Chief] |
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.]