We have withheld $[PDB amount withheld], which represents 25 percent of the past-due
benefits payable to [claimant's name], as required by sections 206(a) and (b) [and/or
1631(d) of the Social Security Act. We have withheld this amount since [date]. We previously
notified you that you must submit a request for a fee for services before the court
to the United States District Court for the [District court region, if applicable
(e.g., Southern, Eastern, Central, etc.)] District of [State where the court is located].
[Additionally, you must submit any petition for a fee for services before the Administration
to the Attorney Fee Branch in the Office of Appellate Operations.]
We do not wish to delay the release of funds withheld from the claimant’s past-due
benefits.
Any fee(s) you may wish to charge hereafter for your services before the court on
this claim will still be subject to the approval of the court. Failure to comply with
this requirement could result in a violation of section 206 and/or 1631 of the Act
(42 U.S.C. 406 and 1383). Collection of any such approved fee shall be a matter between
you and your client.
If you want to request a fee for services before the court, please file your request
for a court fee with the U.S. District Court.
If you want to request a separate administrative fee for any services you provided
before us, send the fee petition to:
Social Security Administration
Office of Appellate Operations
Attn:
Attorney Fee Branch
6401 Security Blvd
Baltimore, MD 21235-6401
If you are waiving direct payment of any fee authorized by the court [and/or SSA],
or you are waiving your fee entirely, please forward us a statement to that effect,
signed and dated by you. Send the statement to:
Social Security Administration
[PC
or FO
address]______________
The fax number is [FO or PC fax number]. Please fax any statements or questions about
this notice to us at that number.
We are sending a copy of this letter to your client.
NOTE: If the court attorney does not submit a petition for the court fee within 30 days,
check all sources to ensure that there has been no fee activity. If there has been
none, release the withheld benefits to the claimant(s). If a court later orders direct
payment of the fee, see GN 03920.055.
If the attorney has petitioned the court, refer to GN 03930.091C.1.
If the attorney indicates that they will waive the fee, refer to GN 03930.091C.3.