Get Request To Withdraw Appeal - Illinois Department Of Human Services - Dhs State Il

Completing the Request To Withdraw Appeal form for the Illinois Department of Human Services is an essential step for users wishing to withdraw their appeal. This guide provides a clear and straightforward approach to filling out the form online, ensuring that you understand each section thoroughly.

Follow the steps to complete your withdrawal request accurately.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editing tool.
2. Fill in your name in the designated field labeled 'Appellant (Your Name)'. This identifies you as the individual making the request.
3. Provide your complete address, including street, city, state, and zip code, in the corresponding fields.
4. Indicate which program(s) you are withdrawing your appeal for by checking the appropriate box—options include TANF, SNAP, AABD, GA, Medical, and Child Care.
5. In the first empty box, explain why the appeal was filed. Be concise and clear in your response.
6. In the second empty box, state your reason for withdrawing the appeal. This should reflect any new decisions or circumstances that prompted your choice.
7. Read and acknowledge the statement regarding the consequences of withdrawing your appeal, confirming your understanding of the process.
8. Sign and date the form in the designated areas to validate your request.
9. Ensure that all fields are filled out completely before submission.
10. Save your changes, download the completed form or print it out, and prepare for submission to your local office or the Assistance Hearings office at the specified address.

Complete your Request To Withdraw Appeal online today for a seamless process.