I-1-2-102.Exhibit — ALJ or AAJ Disapproves the Fee Agreement

Last Update: 1/28/03 (Transmittal I-1-44)

I do not approve the fee agreement between you and your representative because:

[Only include those that apply]

DO YOU DISAGREE WITH THE DETERMINATION?

You or your representative may ask us to review the determination on the fee agreement. If you decide to ask us for a review, write us within 15 days from the day you get this order. Tell us that you disagree and give your reasons. Send your request to this address:

[If Administrative Law Judge (ALJ) disapproved fee agreement:

If Administrative Appeals Judge disapproved fee agreement:

Social Security Administration
Office of Appellate Operations
ATTENTION: Attorney Fee Branch
5107 Leesburg Pike
Falls Church, VA 22041-3255]

Your representative also has 15 days to write us if he or she does not agree with the determination on the fee.

You should include the social security number(s) shown on this order on any papers that you send us.

AUTHORIZING A REPRESENTATIVE'S FEE UNDER THE FEE PETITION PROCESS

If neither you nor your representative requests review, your representative must file a fee petition if he or she wants to charge and collect a fee. I have enclosed with the representative's copy of this order a Form SSA-1560 (Petition to Obtain Approval of a Fee for Representing a Claimant before the Social Security Administration) (he/she) may use for this purpose.

 

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