When a claimant fails to respond to the field office's efforts to reconstruct the
folder (initial contact and follow-up at 7 days), the field office should advise the
HO. In these cases, the HO will send a letter over the ALJ's signature, requesting
that the claimant contact the field office within 10 days. At the end of 15 days,
if the claimant still has not responded to the field office, advise the HO of the
claimant's continued failure to respond. Unless the HO provides special instructions,
sending what information the field office has been able to reconstruct from the office
records to the HO can clear the reconstruction. All efforts to contact the claimant
must be properly documented in the file.
CLAIMS FOLDER RECONSTRUCTION - EXHIBIT 1
NONMEDICAL CLAIM
RECONSTRUCTED FOLDER
TO: DATE:
(Hearing Office)
(Address)
CLAIMANT/APPELLANT NAME SSN
RECONSTRUCTION OF NONMEDICAL CLAIM
Enclosed is (RSI, DI, SSI, or CONC) reconstructed claims
folder.
FROM:
(field office contact person and title)
(field office name and code)
(field office phone number)
CLAIMS FOLDER RECONSTRUCTION - EXHIBIT 2
REQUEST FOR MEDICAL RECONSTRUCTION
TO: DATE:
(DDS)
(ADDRESS)
FROM:
(FO ADDRESS)
(UNIT Phone Number)
A REQUEST FOR HEARING WAS FILED ON BY:
(Name) (SSN)
WE HAVE BEEN UNABLE TO LOCATE THE FOLDER AND MUST RECONSTRUCT THE EVIDENCE.
PLEASE IMMEDIATELY BEGIN THE RECONSTRUCTION OF MEDICALS FOR:
(TITLE II, XVI, CONCURRENT)
ENCLOSED ARE: MEDICAL RELEASE FORMS
SSA-3368
SSA-3369
SSA-3820
OTHER
THE RECONSTRUCTION MUST BE COMPLETED WITHIN 30 DAYS OF THE DATE THAT THIS REQUEST
IS RECEIVED. WHEN COMPLETED, RETURN THE RECONSTRUCTED MATERIAL TO THIS OFFICE VIA
THIS FLAG.
TO:
(FO ADDRESS)
FROM:
(DDS)
MEDICAL RECONSTRUCTION COMPETED
DATE:
(DDS SIGNATURE)