Get Level I - English Version

Filling out the Level I Hearing Request Form is an important step in requesting a hearing regarding a Notice of Intent to Substantiate for Abuse or Neglect. This guide will provide clear, step-by-step instructions to ensure you can effectively complete the form online.

Follow the steps to fill out the form accurately and efficiently.

1. Press the ‘Get Form’ button to access the Level I - English Version form and open it in your preferred editor.
2. In the first section, locate the 'Facts Case Number' field. Enter the specific case number that was provided in your notice to ensure accurate referencing.
3. Next, find the 'Date of Notice of Intent to Substantiate' field. Input the date that corresponds to your notice, ensuring it matches the document for clarity.
4. Below these fields, you will find a statement requesting a hearing. Review the statement and ensure that it aligns with your intent of challenging the proposed Level I determination.
5. Next, locate the line labeled 'Print Name.' It is crucial to enter your full name clearly and accurately as the substantiated person.
6. After printing your name, you will need to provide your signature in the designated area. This confirms your request for a hearing.
7. Then, enter the date on which you are completing the form in the 'Date' field. This should be the current date.
8. Finally, review all your entries for accuracy and completeness. Once verified, you can save your changes, download the form, or print it for mailing.

Complete your documents online today to secure your request for a hearing.