Dhs 0033-2025

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The document DHS-0033-ENG is an appeal form for clients to contest actions taken by a state agency regarding their benefits. It includes sections for client and attorney information, reasons for the appeal, and options regarding the continuation of benefits during the appeal process. The document outlines instructions for filing the appeal, time limits, and information about continued benefits while awaiting a decision.

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Click ‘Get Form’ to open the DHS 0033 in the editor.
Begin by entering your client information. Fill in the NAME OF AGENCY, CASE NUMBER, and NAME OF PROGRAM(S) fields accurately.
Provide your contact details including TELEPHONE NUMBER, STREET ADDRESS, CITY, STATE, and ZIP CODE. If you require an interpreter for the hearing, select 'Yes' or 'No' and specify your preferred language if applicable.
Next, complete the Attorney/Advocate information section by entering their NAME, TELEPHONE NUMBER, STREET ADDRESS, CITY, STATE, and ZIP CODE.
In the Reason for appeal section, clearly state why you disagree with the agency's action. Use the space provided to elaborate on your reasons.
For Status of benefits, read the instructions carefully before checking one of the boxes regarding whether you want to continue receiving benefits during the appeal process.
Finally, sign and date the form at the bottom to validate your appeal request.

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Versions	Form popularity	Fillable & printable
2012	4.8 Satisfied (50 Votes)
2010	4.4 Satisfied (207 Votes)

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How do I appeal a snap decision in Minnesota?

You can use the Department of Human Services form #DHS-0033 to request a hearing. You must submit a request for a hearing within 30 days after receiving written notice of the action you wish to appeal. If you show good cause for missing the 30 day deadline, you may appeal up to 90 days after receiving notice.

Why would DHS call me?

0:36 2:05 Its their job to ensure that you have all the information you need perhaps youre a beneficiary ofMoreIts their job to ensure that you have all the information you need perhaps youre a beneficiary of a program they manage. They might be checking in to confirm. Details or to inform you of changes.

Why did I get a call from DHS?

Be suspicious of calls or emails claiming to be from DHS. Scammers can caller ID information and email addresses. DHS will never use the main contact numbers listed on dhs.gov to make calls of this nature. If you receive calls from these numbers, do not provide any personal information.