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