OFA - Special Circumstances Review Committee Request

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Complete this form if you would like to have your appeal decision reviewed by the Special Circumstances Review Committee. Please note that you must have new information that was not included in your initial appeal for your decision to be reviewed. All decisions made by the Special Circumstances Review Committee are final.

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Do you have any new information regarding your situation that was not included in your initial appeal?

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For the Special Circumstances Review Committee to reconsider your case, you must provide new information that was not included in your initial appeal. If you do not have any additional information, the original decision will stand.

Please provide the additional information and attach any necessary documentation below:

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