POMS Reference

GN 03501: Acquiescence Rulings - General

TN 4 (08-03)

EXHIBIT 1

Transmittal Flag

Transmittal Flag

AR Readjudication Request

TO:     DDS/OHA address and routing code

FROM:    FO address and routing code

LEVEL OF LAST DETERMINATION (CHECK ONE BLOCK)

[ ] INITIAL  [ ]  RECONSIDERATION   [ ] OHA LEVEL

CLAIM NUMBER

NAME

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GN 035: Acquiescence Rulings
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