Dhs michigan hearing request withdrawal what is ah register # form 2025

Get Form
dhs michigan hearing request withdrawal what is ah register # form Preview on Page 1

Here's how it works

01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out dhs michigan hearing request withdrawal what is ah register # form with our platform

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your case name and case number at the top of the form. This information is crucial for identifying your request.
  3. Fill in the date of completion and provide details about your DHS office, including the specialist's name, phone, and fax numbers.
  4. In the 'Addressee' section, enter your personal information: name, care of (if applicable), PO Box or street address, and city/state/ZIP code.
  5. Indicate whether a hearing was scheduled by checking 'YES' or 'NO'. If yes, provide the hearing date and time.
  6. Select a reason for withdrawing your hearing request by checking one of the provided boxes. If you choose 'Other', ensure to explain your reason in detail.
  7. Finally, sign and date the form. Include your telephone number for any follow-up communication.

Start using our platform today to easily complete and submit your DHS Michigan Hearing Request Withdrawal form for free!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
Applying for Administrative Review in Michigan You can find the Drivers License Hearing Request Form on the Michigan Secretary of State website, along with additional information about the license revocation appeal process. If you have any questions about winning an appeal, call 1-800-342-7896.
Submit the public assistance request for hearing to your local MDHHS office using this general public assistance request form: DHS-18 Request for Hearing for use in actions taken by your local MDHHS case worker related to your program eligibility, cash assistance, food assistance, or other assistance programs.
You must appeal in writing to the DIFS within 127 calendar days of the ruling. You must complete HAP CareSources appeal process before asking for review from the DIFS. The appeal coordinator will explain the outside review process.
Michigan Department of Health and Human Services 1-800-942-1636 (toll-free) 517-335-8951 (phone) 517-335-8835 (fax)
be ready to get more

Complete this form in 5 minutes or less

Get form