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To fax in your request click and fax to 408-519-6740

We authorize all of the following files to be copied at Office of Disability Adjudication and Review by T's Copy Service.

Your Name *
E-mail Address: *
Your Company Name *
Your Company Address *
Company Phone *
Company Fax *
Client¡¯s Name and Number *
Office of Disability Adjudication and Review Location *
Attach your1696:
Exhibits you would like to be copied *
Please cheek file type *Hard Copy
Digital Data Disc
FTP File Download
Both Hard Copy and Digital Data Disc
Please in indicate date needed by *
Indicate if urgent
Special Comments or request
* Required