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2007 ds 1805 hearing request search-2026
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- Click ‘Get Form’ to open the 2007 DS 1805 hearing request in the editor.
- Begin by entering the name of the person for whom the hearing is requested (the claimant) and their date of birth in the designated fields.
- Fill in the address and daytime telephone number. Indicate whether the claimant is a Medicaid Home and Community Based Services Waiver participant by checking 'Yes' or 'No'.
- Specify the name of the regional center or state developmental center involved. If you wish to resolve matters before a fair hearing, check any applicable options for informal meetings or mediation.
- Provide detailed reasons for requesting a fair hearing and describe what is needed to resolve your complaint in the respective sections.
- If you are not the claimant, enter your name, relationship to the claimant, and your contact information.
- Sign and date the form where indicated. If an interpreter is required, check 'Yes' and specify the language needed.
- Complete any representative authorization if applicable, including their contact details.
- Finally, indicate any dates or times you are unavailable for meetings related to this request.
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