UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES DEPARTMENTAL

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United States Department of Health and Human Services

United States Department of Health and Human Services


DEPARTMENTAL APPEALS BOARD


Civil Remedies Division


In the Case of: )

)

_____________________ ) Date:

)

Petitioner, )

) Docket No. C-XX-XXX

- v. - )

)

The Inspector General. )

)

)



INSPECTOR GENERAL’S/PETITIONER’S INFORMAL EXHIBIT LIST


If your Informal Brief refers to exhibits, you must assemble and mark them exactly as required by Civil Remedies Division Procedures paragraph 3. You must list and attach them to this Exhibit List.


I. G./Petitioner’s Exhibit 1:


Title or Description of Exhibit:


Date of Exhibit:


Number of pages in Exhibit:



I. G./Petitioner’s Exhibit 2:


Title or Description of Exhibit:


Date of Exhibit:


Number of pages in Exhibit:



I. G./Petitioner’s Exhibit 3:


Title or Description of Exhibit:


Date of Exhibit:


Number of pages in Exhibit:



I. G./Petitioner’s Exhibit 4:


Title or Description of Exhibit:


Date of Exhibit:


Number of pages in Exhibit:



I. G./Petitioner’s Exhibit X, etc.:


Title or Description of Exhibit:


Date of Exhibit:


Number of pages in Exhibit:




This Exhibit List, as well as any attached Exhibits, must be submitted at the same time that your Informal Brief is submitted. A copy of all Exhibits and this Exhibit List must be provided to the I.G./Petitioner at the same time.



Counsel for I.G./Petitioner


Date: ____________



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