Date

 

 

MEMORANDUM FOR:       FILE

 

FROM:                               District Director

 

SUBJECT:                          Expedited Case for Terminally Ill
                                                       Claimant

 

RE:                                   Claimant Name and File Number

 

 

In accordance with Bulletin 09-XX, this case requires expedited handling because the claimant has been determined to be terminally ill.

 

This determination is supported by:

 

Medical Report:                   Dated:           

 

Telephone Call                     Dated:            

 

Email Communication            Dated:            

 

Letter                                    Dated:           

 

OTHER (see attached)  

 

A copy of the supporting documentation is attached to this memorandum. 

 

The “TL” Code has been entered into ECMS-B and/or ECMS-E (as appropriate) with an effective date equal to the date of this memo.