UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF NEW YORK Social Security Action Case Assignment Form To: Counsel for Plaintiff or Plaintiff Pro Se Counsel for Defendant (United States Attorney Northern District of NY) Re: _________________________ v. Commissioner of Social SecurityDear Sir or Madam: The above entitled Social Security Appeal has been filed and assigned a civil action number of 6: _________ -CV- ___________. Pursuant to Local Rule 72.3(d), this action has been assigned to U.S. District Judge:_______________________________ and referred to U.S. Magistrate Judge:______________________________ for review and submission of a Report and Recommendation. Enclosed is copy of General Order # 18 which sets forth the time schedule for filing the Answer, Administrative Record and briefs in this case. All documents filed in this case must be filed in the Clerks Office checked below:9 Alexander Pirnie Federal Building 9 James T. Foley Courthouse 10 Broad Street 445 Broadway, Room 509 Utica, NY 13501 Albany, NY 122079 James T. Hanley Federal Building 9 U.S. District Court 100 S. Clinton Street 15 Henry Street Syracuse, NY 13261-7367 Binghamton, NY 13901