BASIC (02-06)

DI 80830.110 Exhibits

A. Example 1 – Transmittal by Office of Appellate Operations

TRANSMITTAL BY OFFICE OF

HEARINGS AND APPEALS

DATE:

TO:

Social Security Administration
Office of Disability
Operations 1500
Woodlawn Drive
Baltimore, MD 21241-1500

Paperless Fax Number: 410-597-0939

  

FROM:    Office of Appellate Operations

                Branch 03

               5107 Leesburg Pike

                Falls Church, VA 22041

BY: JCK

(Claimant’s Name and SSN)

         Lisa Smith

          123-00-6789

 

ATTACHMENTS:


                 

            Claims Folder (Title II)

             Decision

 

REMARKS:


EFFECTUATION NECESSARY
 

B. Example 2 – Transmittal by Office of Appellate Operations

TRANSMITTAL BY OFFICE OF

HEARINGS AND APPEALS

DATE:

TO:

Disability Review Section

Northeastern Program Service Center

PO Box 4600

Jamaica, NY 11431

FAX Number: (718) 557-5777

FROM: Office of Appellate Operations

Branch 03

5107 Leesburg Pike

Falls Church, VA 22041

BY: JCK

(Claimant’s Name and SSN)

Lisa Smith

123-00-6789

ATTACHMENTS:

Claims Folder (Title II)

Decision

REMARKS:

EFFECTUATION NECESSARY

C. Example 1 – DDQO Dispatch

Social Security Number:

TOEL 1: APPEAL

TOEL 2: HEARING

  

Remarks: INITIAL ALJ CASE

FULLY ELECTRONIC

 

To: (Component)

PSC # 1

Location:

Disability Review Section

Northeastern Program Service Center

PO Box 4600

Jamaica, NY 11431

 

For your necessary action to effectuate ALJ decision. OQA has completed its review of this case per GN 03103.290.

Please Expedite.

Fax: 718 557-5777

From (Component)

OQA, ODPQ, DDQO

By: (Name and Title)