FROM:                               District Director


SUBJECT:                          Expedited Case for Terminally Ill


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.