POMS Reference

GN 01010: Adjudicative Policy and Standards

TN 13 (11-11)

The following exhibits illustrate the proper format for formal and informal determinations.

A. Exhibit 1 - Formal Determination

G-GN_01010.390-1

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B. Exhibit 2 - Informal Determination

G-GN_01010.390-2

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C. Exhibit 3 - Formal Determination on report of contact (RPOC) Screen in Modernized Claims System (MCS)

G-GN_01010.390-3

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