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1. The request is not received in the specified time period.
2. The request is withdrawn in writing and signed by the A/R or his/her representative; the request must also be acknowledged as withdrawn by the Appeals Unit.
3. The A/R or his/her representative fails without good cause to appear at the scheduled hearing.
Preferred Methods of Withdrawal from a Fair Hearing To ensure that Fair Hearings are being withdrawn consistently, the acceptable methods of withdrawal are listed below in the preferred order: 1. A county may call Office of Administrative Hearings (OAH) to withdraw from a fair hearing with the client on the phone; 2. A county may transfer the client to OAH to withdraw from a fair hearing. Typically, the county will stay on the line long enough to identify the county and state and to inform them that there is a client on the phone who wishes to withdraw and then transfer the call; 3. A county may call and withdraw on the client’s behalf; 4. A client may call on his/her own and withdraw from a fair hearing; or 5. A client or worker may write to OAH to withdraw from a fair hearing. Please note that there are time constraints when using this option.
19.9 Description of Fair Hearing Events/Basic Information The CM/ES Worker must use the DSS Form 2633, with any supporting documentation attached, to describe the events leading to and including the action that is in question. The following basic information must be included in the summary: 1. Case name 2. Case number 3. Benefit type 4. Name of the CM/ES Worker 5. Date of the timely or adequate notice 6. Dates of the questioned eligibility period 7. Amount of over issuance or under issuance 8. Date of application 9. A logical, concise explanation of the county action 10. Request and/or authorization of continued benefits 11. Supporting documentation substantiating case action