TN 23 (12-17)

NL 00725.175 “COP” UTIs – Copy of Notice

COPC01 Caption

Other Information

COPD01 Dictated Text

 

COP001 Copy of Notice to Third Party/ALJ/Attorney or Representative

We are sending a copy of this notice to  (1)   (2)   (3)   (4)   (5)  .


Fill-ins:
(1) claimant name/null
(2) “,”/“and”/null
(3) third party name/ALJ name/null
(4) “and”/null
(5) attorney name/representative name/null

COP002 Copy Cover Notice

Enclosed is a copy of a letter we sent to  (1)  .


Fill-in:
(1) FN

To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900725175
NL 00725.175 - “COP” UTIs – Copy of Notice - 12/21/2017
Batch run: 12/21/2017
Rev:12/21/2017