DI / DE 2580A

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Acknowledgement of Appeal

Mailing Date:
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CED:
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Claimant Name
Address 1
Address 2
Country
 
Your appeal concerning has been forwarded to the Office of Appeals.

Approximately 10 days before your hearing, the above Office of Appeals will notify you of the time, date, and place to appear.

Please call the Office of Appeals at
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if you have questions or concerns regarding your appeal or hearing.

DE 2580A Rev. 4 (10-22) (INTRANET)