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85 | P a g e October 25 REQUESTING A FAIR HEARING Prior to the steps below, the Eligibility Worker has sent a notification of adverse action from the CHIMES computer system. 1. Claimant completes the "Energy Assistance Request for Fair Hearing" Form (See Appendix B). Mail the request form to the Hearing Officer, Box 202922, Helena, MT 59620 5.9 Administrative Review PURPOSE AND SCOPE: The purpose of the Administrative Review is to prevent unnecessary Fair Hearings by providing for the resolution of the issue by a higher administrative authority. The Administrative Review provides the claimant an opportunity to discuss the Eligibility Worker's decision with a Human and Community Services Division (HCSD) Representative/Reviewer or Designee. Through this review the claimant obtains an explanation of the reasons for the proposed adverse action and is given the opportunity to present information to show why the proposed action is incorrect and should not be taken. An Administrative Review will be conducted at the request of the Hearing Officer and will include – 1. An informal review by the Human and Community Services Division (HCSD) Representative/Reviewer or Designee of the relevant facts, circumstances and regulations involved in the adverse action. 2. The Human and Community Services Division (HCSD) Representative/Reviewer or Designee shall prepare a written report of this review for the Hearing Officer within twenty (20) days of the date of the order for the Administrative Review. EFFECT ON RIGHT TO HEARING: The opportunity for an Administrative Review shall not be used to diminish, delay, or avoid the claimant's right to a Fair Hearing. If the Administrative Review does not resolve questions and issues relating to the adverse action to the claimant's satisfaction, the Hearing Officer must proceed with the Fair Hearing. REVERSED OR MODIFIED DECISION: At any time during the Administrative Review, an action may be reversed or modified by the Human and Community Services Division (HCSD) Representative or Designee in which case a hearing will not be held unless the claimant is aggrieved by the modified adverse action and requests that the hearing be held. SUB-GRANTEE DISAGREES WITH DIVISION REPRESENTATIVE OR DESIGNEE’S