Last Update: 9/14/2005 (Transmittal I-1-56)
HA 01170.091 Exhibit - Sample
Notice to Claimant - Class Member Claim and Subsequent (Current)
Claim Have No Issues in Common
Renumbered from HALLEX section I-1-7-91
On ____________, you filed a claim for benefits under ((Title II) (Title XVI) or (Titles II and XVI))
of the Social Security Act. As you know, you have requested a hearing
on that claim. I have also received your prior claim(s) filed on
____________, for which you requested review under the _____________
class action, and have determined that you are a member of the class.
I have reviewed (both or all)
claims and have decided not to combine them for adjudication purposes.
This is because your class member claim and your current claim do
not have issues in common that would permit them to be combined.
Therefore, I am returning your prior claim(s) to the (name of state,
e.g., Tennessee) Disability Determination Service for appropriate
action under the ___________ class action.
I will continue to process your request for hearing in connection
with your claim of ___________ and notify you of the results of
my action. (Modify the following sentence
as necessary.) This office will communicate with you
at a later date concerning the scheduling of a hearing.
If you have any questions concerning your prior claim(s),
please contact your local Social Security Office.