Get Ds 1805

The Ds 1805 form is a request for a fair hearing initiated by individuals dissatisfied with decisions made by the regional center or state developmental center. This guide provides a clear, step-by-step approach to completing the form online, ensuring users fill it out accurately and efficiently.

Follow the steps to successfully complete the Ds 1805 online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the name of the person for whom the hearing is requested (the claimant) in the designated field.
3. Provide the claimant's date of birth to verify their identity.
4. Enter the claimant's address, ensuring that all details are complete for accurate correspondence.
5. Indicate whether the claimant is a Medicaid Home and Community Based Services Waiver participant by checking 'Yes' or 'No' as appropriate.
6. Fill in the daytime telephone number where the claimant can be reached.
7. Specify the name of the regional center or state developmental center involved.
8. Outline the reasons for requesting a fair hearing. This consists of providing a detailed description of the complaint.
9. If applicable, describe what is needed to resolve the complaint in the designated area.
10. If the requester is not the claimant, complete the section for the requester's name, relationship to the claimant, address, and daytime telephone number.
11. Sign and date the request, ensuring that the signature matches the name entered.
12. Indicate if interpreter services are required by checking 'Yes' or 'No' and providing the language if applicable.
13. In the representative authorization section, if applicable, fill in the name, address, and daytime telephone number of the authorized person to represent the claimant.
14. List any unavailable dates or times, if any, to ensure scheduling is convenient for the claimant.
15. Finally, save changes, and download, print, or share the form as needed after reviewing for accuracy.

Complete your documents online now to ensure a smooth hearing process.