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Get Form 13MP005E (H-4) - Oklahoma Department Of Human Services - Okdhs

E completed by the local office Supervisor/worker number Case name Date of request Issue Is this request timely, as defined by Agency policy? Yes No I. REQUEST. I hereby request a hearing before the Oklahoma Department of Human Services (OKDHS) because OKDHS has: denied a claim for foster care payments; paid foster care payments in an amount lower than the amount claimed; not paid foster care payments in a timely manner; closed a foster home; not returned.

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