Dhs 0033 form 2010-2026

1. Click ‘Get Form’ to open the DHS 0033 form in the editor.
2. Begin by filling out the 'Client Information' section. Enter your name, case number, program name, and contact details including telephone number and address.
3. Indicate if you need an interpreter for the hearing by selecting 'Yes' or 'No'. If yes, specify your preferred language.
4. In the 'Attorney/Advocate Information' section, provide the name and contact details of your attorney or advocate.
5. Clearly state your reason for appeal in the designated area. Be specific about why you disagree with the county/state action.
6. Review the 'Status of Benefits' section carefully. Choose whether you want to continue receiving benefits during the appeal process.
7. Finally, sign and date the form at the bottom before submitting it either to your financial worker or directly to the state agency.

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