Last Update: 7/22/2005 (Transmittal I-2-59)
HA 01240.095 Exhibit—Decision
When Claimant Abandons Claim After Sentence Six Court Remand
Renumbered from HALLEX section I-2-4-95
DECISION
|
IN THE CASE
OF _______________________________ (Claimant)
|
CLAIM FOR ______________________________ (Social
Security Number)
|
|
______________________________
(Wage Earner)
|
_____________________________ (Social
Security Number)
|
This case is before the Commissioner on a sentence six remand
from the United States District Court for (Fill- in: district), Civil Action Number
(Fill-in: civil action number).
The court directed the Commissioner on remand to (Fill-in: explanation of proceedings required by court order).
The Appeals Council vacated the Commissioner's prior final
decision in this case and remanded the case for further proceedings
in accordance with the court's order. On (Fill-in: date) the claimant (and his/her representative) (was/were) notified of the time
and place of the scheduled hearing (Fill-in: Exhibit
No.).
(Explanation of facts surrounding
abandonment) (Fill-in: Exhibit
No.). OR (The claimant or The
claimant, through his/her representative,) responded
by (Fill-in: letter/telephone)
on (Fill-in: date) that
(he/she) did not wish to
pursue the claim (Fill-in: Exhibit
No.).
The claimant's action of (abandoning/withdrawing)
the claim renders the controversy moot, thereby making additional
administrative proceedings unnecessary. Therefore, the Administrative Law
Judge adopts, as herein modified, the findings and conclusions in
the decision of (Fill- in: date of
vacated decision).
It is the decision of the Administrative Law Judge that, based
on the (application/applications) filed
on (Fill-in: date(s)), the
claimant is not entitled to (Fill-in: type
of benefit(s), e.g., a period of disability or disability
insurance benefits) under (Fill-in: applicable § of
the Social Security Act).
|
Administrative
Law Judge
|
|
|
|
|
|
|
_______________________________________
|
|
Date
|
|