Exhibit email message for the transfer of jurisdiction from servicing FO or jurisdictional
PC to the ORC.
Include the requesting Office’s: Office Code, Address, City, State, Name of office
“We are sending the following information and attached material for your action in
obtaining the claims folder(s) needed by an ALJ at office code, city, state, and zip
Claimant name, SSN, date of birth (DOB)
Number holder’s (NH): name, DOB, SSN, and date of death
SSI case: Spouse’s name, SSN, DOB
The request for hearing was filed day/month/year. See the attached HA-501-U5.
Appeal issue: claim denial, medical cessation, or other
Hearing request is for: TII only, TXVI only, or concurrent TII or TXVI, or Other
Current folder(s) needed: HA, DAC, DWB, SSI, or Other
Prior folder(s) needed: HA, DAC, DWB, SSI, Other, or None
See the attached queries, folder requests, report of contacts, and responses.