Follow the steps to fill out the MI DHS-18 form online.

1. Click ‘Get Form’ button to retrieve the MI DHS-18 form and open it in your preferred document editor.
2. Fill in the case name, case number, date, and MDHHS office details in the designated fields at the top of the form.
3. Enter the names and address of the addressee, ensuring all fields are completed accurately including the city, state, and ZIP code.
4. Review the instructions and ensure you complete items 1 through 14 on the following pages, as outlined in the form.
5. In Section 1, indicate the date received in MDHHS and list the program(s) in dispute. Make sure to specify your disagreement with the department’s decision.
6. Complete Section 2 by confirming your request for a hearing in writing; it must be signed by you or an authorized representative.
7. If someone else will be representing you, fill out Section 3 to document this appointment and ensure it is signed.
8. Complete any necessary details in Section 5, especially if special arrangements are needed for disabilities or language barriers.
9. In Section 6, select the benefit program you are challenging and provide an explanation of why you believe the decision was incorrect.
10. Complete the signature section, including your telephone number and current address.
11. Finally, save your changes, and download, print, or share the completed form as required before submitting it to your local MDHHS office.

Take the next step by filling out the MI DHS-18 form online today.