This graphic is a scanned image of Form 14633, OOA Appeal Rights Suitability Recommendation which contains no data. The heading section contains the following information. The left-hand side of this section has four categories preceded by an un-filled check box for the examiner to select. These choices are worklist/FPC, Transcript, Recheck List and DC/Outside Referral. Underneath worklist/FPC this is the caption - EFIN(s) to be entered. The right-hand section has lined spaces for the TIN(s) to be entered. The left-hand side under EFINS captions is a check box No other EFINS. Beneath No other EFINS is Suspension Date with an underlined space beside it. Postmark Received Date with underlined space beside it.The next section is for the recommendation. The top left states T/E Recommendation: across the form is a Pass check box, a Fail (To O.O.A.) check box. Right underneath the T/E Recommendation is the caption R/C Provided On All Issues across the form is a Yes check box or No check box. Underneath the R/C Provided On All Issues is the caption Comments: with space provided. The bottom middle section contains the signature box and the date box. The next section is Team Lead Recommendation across the form is a Pass check box, Fail (To O.O.A.) check box. Right underneath this is the caption R/C Provided On All Issues Yes Check box, No check box. Underneath R/C Provided On All Issue is the caption -Comments: with space provided. The bottom left has the caption Level of Infraction box a signature box and date box.The last section contains the caption - Special Instructions/Follow-up Actions: in the upper left with space provided. Below this is the caption - Date Forwarded to The O.O.A. with a lined space beside it. The footer contains - Note: Return To Team Leader After Special Actions Have Been Completed.