H4827- Withdrawal of Appeal Request Withdrawal of Appeal Request has a spanish version The spanish v 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name, case number, and address in the designated fields. Ensure all information is accurate to avoid processing delays.
3. Indicate the date of your original appeal request and select the reason for withdrawal from the options provided: lowering of benefits, denial of benefits, or other.
4. Mark any programs you are waiving your right to appeal, such as SNAP, TANF, or Medical Assistance.
5. In the section for reasons for withdrawal, clearly state why you are taking this action. This could include explanations regarding changes in benefits or eligibility.
6. Finally, sign and date the document as either the client or authorized representative. A witness signature is also required.

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