Last Update: 9/14/2005 (Transmittal I-1-56)
HA 01170.090 Exhibit - Sample Court Case Flag/Alert
Renumbered from HALLEX section I-1-7-90
REVIEW PSC DOC TOE ALERT DATE RESPONSE DATE OLD BOAN/PAN
OFFICE
SSN (BOAN OR PAN) NAME BIRTH DATE EFERENCE #
FOLDER LOCATION INFORMATION
CAN/HUN BIC/MFT CATG TITLE SITE COMP DATE ACN
PAYEE ADDRESS
ALL CLAIM FILE(S) SHOULD BE SHIPPED TO THE FOLLOWING ADDRESS FOR SCREENING:
Social Security Administration
Office of Appellate Operations
Attn: Executive Director's Officer, Class Action Coordinator
6401 Security Blvd
Baltimore, MD 21235-6401
(Case Locator Code Y46)
IF UNABLE TO LOCATE THE CLAIM FILE(S), FORWARD A RECONSTRUCTION REQUEST TO THE SERVICING FIELD OFFICE.
*NOTE: A separate screening sheet must be prepared for each CAN/HUN printed above.