Get What Are Dha28 Forms

The Dha28 form is a request for a fair hearing related to adverse actions affecting your benefits in the state of Wisconsin. This guide provides step-by-step instructions on how to complete the form correctly and efficiently online.

Follow the steps to fill out the Dha28 form online:

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred editing tool.
2. Enter your name in the designated field to clearly identify who is requesting the hearing.
3. Provide your phone number, ensuring that it is accurate so that the agency can contact you if necessary.
4. Fill in your Social Security number in the specified section as it is essential for processing your request.
5. List your complete mailing address, including street address, apartment number (if applicable), city, zip code, and any relevant county or agency information.
6. Enter your CARES number, which helps in identifying your case related to benefits.
7. Indicate the effective date of the adverse action that prompted your request for a hearing.
8. Select 'Yes' or 'No' regarding whether you wish for your benefits to continue while your request is pending.
9. Check the appropriate box for the type of benefit and action that you are appealing, specifying any additional details as necessary.
10. State your reasons for requesting the hearing in the provided area, continuing on the back of the form if more space is needed.
11. Sign the form, indicating if you are a guardian or have power of attorney, and date your submission.
12. Review your form for completeness and accuracy before saving your changes, downloading, printing, or sharing the final version as needed.

Complete your Dha28 forms online today and ensure your request for a fair hearing is submitted promptly.