Last Update: 9/14/2005 (Transmittal I-1-56)
HA 01170.092 Exhibit - Class
Action Case Flag - DDS Readjudication Necessary - Claims Not Consolidated
Renumbered from HALLEX section I-1-7-92
___________ Class
Action Case
|
|
READJUDICATION
NECESSARY
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Claimant's Name:________________________________
SSN: ________________________________
This claimant is a _______ class member. The attached claim
file(s) was forwarded to this hearing office for possible consolidation
with a current claim.
_____ The Administrative Law Judge has determined that the
prior and current claims do not share a common issue and, therefore,
should not be consolidated.
OR
_____ The claims have not been consolidated because:
_______________________________________________________
_______________________________________________________
_______________________________________________________
Accordingly, we are forwarding the attached alert and prior
claim file(s) to your location for any necessary readjudication
action.
We are sending the alert and prior file(s) to:
_______________________________________________________
_______________________________________________________
_______________________________________________________
Destination code: _________