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  • Fa-100 - Fair Hearing Request - Arizona Department Of Economic ...

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FA100PD (1215) ARIZONA DEPARTMENT OF ECONOMIC SECURITY Family Assistance Administration FAIR HEARING REQUEST Local Office Use Only Case Name: Case No.: Site Code: Date Received: Complete the following.

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DES Program and Services Contact Numbers ServicePhone Number(s)Nutrition Assistance (Food Stamps)(855) 432-7587Cash Assistance(855) 432-7587Medical Assistance(855) 432-7587Electronic Benefit Transfer (EBT Card) Customer Service(888) 997-933319 more rows

If you are disqualified/denied benefits, you have the right to file an appeal. You must file your appeal within an established time frame. Your employer may also appeal a determination if he/she does not agree with the determination regarding your eligibility.

How do you request an Appeal? Download the Fair Hearing Request Form FAA-0098A or request a form at your local office. Give the local DES office your completed Fair Hearing Request form, or a written statement in person, by mail, or by fax. Find your Local Office at the DES Office Locator.

A Notice of Hearing generally will be sent to you within 3 to 6 weeks from the date the appeal was received.

If you wish to appeal a different document or have other questions, please contact the Call Center at (602)364-2722 or 1(877)600-2722 for assistance. After you submit the online appeal, you will receive a confirmation number that the appeal was received. Print that page for proof of submission.

This benefit is currently being issued to eligible individuals. Retroactive payments will be made for weeks claimed going back to March 29 for individuals receiving UI as well as individuals receiving PUA. You are eligible for FPUC if you receive any of the following benefits: Unemployment Insurance (UI)

The appeal will be processed and scheduled for hearing as soon as possible. A Notice of Hearing generally will be sent to you within 3 to 6 weeks from the date the appeal was received.

If you have any questions, you may call 1-855-432-7587, Monday through Friday 7:00 a.m. - 6:00 p.m.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232