SFN 162, Request for Hearing 510-03-100-35

(New 7/1/2014 ML #3404)

View Archives

This form is used by recipients who wish to request a hearing.

This form is available through the Department of Human Services and may also be obtained electronically via E-Forms .

E-Forms are presented in Adobe Acrobat and require the Adobe Acrobat reader. If you do not currently have Adobe Acrobat reader installed, you may download a free copy by clicking the Get Adobe Reader icon below.