MEMORANDUM

TO: Anna Chen, Zenith Administrators

CPWR

FROM:

POC,

________ District Office

DATE:

SUBJECT: Notification to cancel the referral for Employee’s Name, Claim number

This memorandum to notice to cancel the employment verification for [employee’s name] requested on [date].

On [date], the district office received new factual evidence that sufficiently addresses the same information we requested from CPWR. This evidence was received within three days of the date the referral was made to CPWR. Therefore, CPWR is requested to cease processing this referral and to return the referral package to the [name] district office.