The pre-printed form HA-501-U5 consists of five copies. An FO technician distributes
all copies of the form to the appropriate folder, office and individuals as detailed
in the below list of copies. Distribute the forms as listed, regardless of whether
you use the preprinted, MCS, MSSICS, or pdf version of the form to document the request
for hearing.
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•
Original (claim folder) – white copy,
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•
Hearing Office – pink copy,
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•
Appointed Representative – white copy.