MPBL - LUM17 - Appeal form - 29012020.cdr 2025

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To appeal an action related to cash assistance, food assistance, or other assistance programs, you must use the Request for Hearing form (DHS-18) available online at .michigan.gov/mdhhs Doing Business with MDHHS Forms and Applications Other.
Once you have filled out the Notice of Appeal, you must file it with the Prothonotary in the Common Pleas Court where the office of the District Justice is located. The Common Pleas Court charges a fee for filing an appeal. The fee varies from county to county but is generally in the $40 - $60 range.
Individuals may file an appeal if they disagree with a trial courts decision. You must file a Notice of Appeal with both the Indiana Court of Appeals Clerk to begin the appeals process. The filing fee is $250. If you need copies of any portion of the trial court file, make your request within the Notice of Appeal.
A request for an administrative hearing must be made in writing and signed by you or someone authorized to act on your behalf. For convenience, MDHHS provides a hearing request form that you should bring or mail to your MDHHS office (no faxes or photocopies).
File a Complaint - State of Michigan If you have questions about filing a complaint, please call 517-335-7599. In-state residents can also call 877-765-8388.

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You will have to file additional documents with the appellate court, including the fee, a copy of applicable bond, proof of service, the original claim of appeal document, a copy of the judgment and trial court docket, a jurisdiction checklist, a docketing statement, and a statement from an attorney or certificate of a
0:25 4:07 I want to appeal. Write I disagree with this decision sign and date the letter. Then bring or sendMoreI want to appeal. Write I disagree with this decision sign and date the letter. Then bring or send it to your local SNAP office where you originally applied for benefits. Contact your caseworker.