Get Fair Hearing Andor Conference Request Form - Dhhr Wv

Filling out the fair hearing and conference request form is a crucial step for individuals seeking to contest decisions made regarding their benefits. This guide will walk you through the process of completing the form online in a clear and supportive manner, ensuring that you have all the necessary information at your fingertips.

Follow the steps to complete the form accurately and efficiently.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Begin by entering your printed name in the corresponding field. This identifies you as the requestor of the hearing.
3. Provide your address accurately, ensuring that all details are current and correct. This will help DHHR contact you regarding your request.
4. Select whether you would like a Pre-Hearing Conference, a Fair Hearing, or both by checking the appropriate boxes provided.
5. If you prefer a Fair Hearing, indicate if you wish it conducted by phone, by selecting the relevant option.
6. In the section labeled 'Reason for Hearing/Pre-Hearing Request', briefly describe why you are requesting the hearing. This will help the officials understand your concerns.
7. Sign and date the form to verify your request. Optionally, you can add your Social Security Number for identification purposes.
8. Once you have completed all sections, review the form for accuracy. Once confirmed, you can save changes, download, print, or share the form as needed.

Take action now by completing the fair hearing and conference request form online.