Page 86

INSTRUCTIONS FOR FAIR ADMINISTRATIVE HEARING

This form is to be used by local agencies for purposes of initiating a fair administrative hearing in the LIHEAP.

The Agency Hearing Officer is to complete Part I and II of the form in an original and two copies. Mail the original and one copy along with any additional material related to the issue(s) of the hearing to the Alabama Department of Economic and Community Affairs (ADECA) within five days from the date of the hearing. Retain one copy of the form for your record.

Once ADECA makes a decision on the hearing, a copy of the form will be returned to you to be retained in the case record. ADECA will notify the agency and the claimant of the decision reached on the hearing.

Mail the material to:

Alabama Department of Economic and Community Affairs Energy Division P. O. Box 5690 Montgomery, Alabama 36103-5690

Attention: LIHEAP Program Supervisor

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Page 86

Official source

INSTRUCTIONS FOR FAIR ADMINISTRATIVE HEARING

This form is to be used by local agencies for purposes of initiating a fair administrative hearing in the LIHEAP.

The Agency Hearing Officer is to complete Part I and II of the form in an original and two copies. Mail the original and one copy along with any additional material related to the issue(s) of the hearing to the Alabama Department of Economic and Community Affairs (ADECA) within five days from the date of the hearing. Retain one copy of the form for your record.

Once ADECA makes a decision on the hearing, a copy of the form will be returned to you to be retained in the case record. ADECA will notify the agency and the claimant of the decision reached on the hearing.

Mail the material to:

Alabama Department of Economic and Community Affairs Energy Division P. O. Box 5690 Montgomery, Alabama 36103-5690

Attention: LIHEAP Program Supervisor