Forms Manual

Important Information About Your Hearing Rights IM-4

PURPOSE:   This pamphlet gives the applicant for or recipient of Financial Assistance, Medical Assistance or food stamp benefits information regarding his/her right to a hearing, how to request a hearing, and the hearing process.

Number of Copies and Distribution: Each EU/authorized representative is to be given a copy of the pamphlet at each food stamp, Financial Assistance and Medical Assistance application, and when discussing the eligibility decision.

Description:  The pamphlet includes the following information:

  • Explanation of hearing rights;
  • a description of the hearing process;
  • frequently asked questions;
  • the hearing decision and appeal process; and
  • civil rights law.