Acknowledgment Letter - Request for Review - Fee Resulting From Agreement - Good Cause
Development
We are writing about your letter dated January 25, 1995. You asked us to review the
decision we made on the fee agreement between you and Harry Henderson.
If you do call or visit an office, please have this letter with you. It will help
us answer your questions. This will help us serve you more quickly.
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AR-2
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Acknowledgment Letter - Request for Review - Disapproval of Fee Agreement - To Nonrequester
Harry Henderson
Street Address
City/State/ZIP Code
Ellen Williams has asked us to review our decision disapproving a fee agreement between
you and your representative.
What Will Happen
Someone who did not make the decision will review it and make a new one. We will give
you that decision in writing. If we approve the fee agreement, we will tell you the
most your representative can charge for work on your claim. If we do not approve the
fee agreement and your representative wants to charge a fee, they must ask us in writing
to approve the fee amount.
What You Can Do
We are sending you a copy of Ellen Williams' letter. If you have comments about the
letter, or want to give us more information, write us within 15 days. We will consider what you tell us. You can write us at this address:
Address of Originating Component
If You Have Any Questions
If you have questions about this letter, please write us at the above address.
If you have questions about other Social Security matters, call us toll free at 1-800-772-1213,
7 a.m. to 7 p.m. Monday through Friday. We can answer most questions over the phone.
Our busiest times are the first week of the month and Mondays. So, we may be able
to handle your call more quickly if you can call us at other times.
If you wish you can call your local Social Security office at xxx-xxxx. You can also
write or visit a Social Security office. The office that serves your area is located
at:
Street Address
City/State/ZIP Code
If you do call or visit an office, please have this letter with you. It will help
us answer your questions. This will help us serve you more quickly.
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AR-3
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Acknowledgment Letter - Request for Review - Fee Resulting From Agreement - To Requester
Bruce Smith
Street Address
City/State/ZIP Code
We are writing about your letter dated January 25, 1995. You asked us to review the
fee amount we said your representative, Marvin Levy, can charge for work under your
fee agreement.
What Will Happen
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Someone who did not decide the fee amount will review the decision and make a new
one. Based on that review we will raise, lower, or not change the fee amount your
representative can charge.
If we lower the fee amount, the lower fee is the most your representative can charge
under the fee agreement for work on your Social Security claim. If we raise the fee
amount, your representative can charge you the higher amount.
Because Marvin Levy, Susy Smith, Joey Smith, and James Kelly (claims representative)
can comment on your request for administrative review, we are sending them a copy
of your request. They also can provide more information to the person reviewing your
request.
If we need more information we will contact you. We will send you and the other people
listed above, a letter telling what we decide.
If You Have Any Question
See Referral Paragraphs in Model Acknowledgment Letter AR-1
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AR-4
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Acknowledgment Letter - Request for Review - Fee Resulting From Agreement - To Nonrequester
Sally Brown
Street Address
City/State/ZIP Code
Jane Doe has asked us to raise the fee amount we said they can charge for work on
your claim. Your representative wants us to raise the fee amount from $900 to $1,500.
What Will Happen
Someone who did not decide the fee amount will review the decision and make a new
one. Based on that review we will raise, lower, or not change the fee amount your
representative can charge.
If we lower the fee amount, the lower fee is the most your representative can charge
under the fee agreement for work on your Social Security claim. If we raise the fee
amount, your representative can charge you the higher amount.
What You Can Do
We are sending you a copy of Jane Doe's letter. If you have comments about the letter,
or want to give us more information, write us within 15 days. We will consider what you tell us. You can write us at this address:
Address of Originating Component
If You Have Any Questions
See Referral Paragraphs in Model Acknowledgment Letter AR-2
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AR-5
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Acknowledgment Letter - Request for Review - Fee Resulting From Agreement - Received
by Wrong Office - Forwarded to Correct Office
Abbey Rhodes
[Attorney at Law]
Street Address
City/State/ZIP Code
We are writing about your letter postmarked May 18, 1995. You asked us to review the
fee amount we said you can charge George Harrison under your fee agreement.
What We Have Done
We have sent your letter to the Office of Central Operations, 6401 Security Boulevard,
Baltimore, MD 21235. Someone in that office will review your request. If you want
more information or have questions about the review, please write to that office.
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AR-6
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Acknowledgment Letter - Request for Review - Fee Resulting From Agreement - Good
Cause Development
Jimmy Johnson
Street Address
City/State/ZIP Code
We are writing about your letter dated January 1, 1995. You asked us to review the
fee amount we said your representative, Charles Yeager, can charge for work under
your fee agreement.
What You Should Do
In our letter dated November 15, 1995, we told you to write to us within 15 days of
the day you got the letter if you wanted a review. We assume you got our letter within
5 days after the date on it, unless you show us that you did not get it within the
5-day period.
You did not write us within 15 days, so we will not review our decision unless we
decide you had good reason for not asking for review on time. If you think you have
a good reason, write us within 15 days from the day you get this letter. Tell us why you did not ask for the review on time. Also, give us any information
that might support what you say.
If You Have Any Questions
See Referral Paragraphs in Model Acknowledgment Letter AR-1