Follow the steps to complete your form efficiently.

1. Press the ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin by entering your last name, first name, and middle initial in the designated fields.
3. Provide your mailing address, including city, state, and zip code, along with your contact numbers (home, work, and cell). Don't forget to include your email address, consenting to receive court orders and notices electronically.
4. Indicate your representation status by selecting if you are representing yourself, have an attorney, or are represented by a CPA. If you have legal representation, fill in the names and mailing addresses of your attorney or CPA.
5. In the case information section, specify the agency that issued the decision and provide important dates such as when the decision was issued and received.
6. Attach a brief statement outlining why the hearing is requested and the type of relief sought from the court.
7. Indicate your payment method for the applicable filing fee and the amount you are submitting.
8. Sign the form or have your attorney/CPA sign it, and indicate how your payment will be delivered to the Administrative Law Court.
9. Complete the certificate of service section by certifying that you have sent copies of the request to all parties involved, including entering their names and addresses.
10. Finally, review all entries for accuracy before saving changes, downloading, printing, or sharing the form as needed.

Complete your documents online today to ensure a smooth filing process.