Appendix VII, Administrative Disqualification Hearing (ADH) Case Record Filing Guide

Revision 14-1; March 31, 2014

Always file the most current material on top of the appropriate section.

Left Side of Folder	Right Side of Folder
Topmost item(s) are: ADH tracking sheet MAPPER entry screen printout AVAYA printout	Topmost item(s) are: Decision cover letter Form H4857, Notice of Decision, Administrative Disqualification Hearing ADH decision

Left Side of Folder

Right Side of Folder

Topmost item(s) are:

Topmost item(s) are:

Use tabs to separate the remaining items:

Correspondence: (most recent on top)	Administrative Review: (for use as needed)
Examples include, but are not limited to: Email requesting the ADH ADH case summary Form H4851-C, Notice of Administrative Disqualification Hearing Form H4856, Request for Another Appointment for Administrative Disqualification Hearing USPS certified mail receipt USPS domestic return receipt Respondent’s statement of representation Note: If any of these documents become exhibits, label and file under Exhibits Admitted instead.	Respondent’s administrative review request and any accompanying documents Reopen: (for use as needed) Respondent’s reopen request and any accompanying documents

Correspondence: (most recent on top)

Administrative Review: (for use as needed)

Examples include, but are not limited to:

Email requesting the ADH
ADH case summary
Form H4851-C, Notice of Administrative Disqualification Hearing
Form H4856, Request for Another Appointment for Administrative Disqualification Hearing
USPS certified mail receipt
USPS domestic return receipt
Respondent’s statement of representation

Note: If any of these documents become exhibits, label and file under Exhibits Admitted instead.

Reopen: (for use as needed)

Exhibits Not Admitted:	Exhibits Admitted:
Items determined irrelevant or otherwise inadmissible by the hearings officer Items provided to the hearings officer, but not offered by participants Duplicates of exhibits already admitted	File exhibits in ascending order. When items are offered independently, label them as the next logical exhibit number or letter. Example: Exhibits A through E are offered. Then an Office of Inspector General (OIG) representative offers five additional pages which are not included in A through E and are not labeled. These pages should be numbered one to five and labeled as exhibit F.