• Update Field one, Category Being Appealed, to include all types of programs for which a hearing can be requested, and list the programs alphabetically;

• Add Fields 2-4 which are used only for food stamp and Temporary Assistance cases in which a DWD sanction is imposed;

• Update Field nine, Food Stamp and Income Maintenance (IM)(Cash/Healthcare) Recipients, to provide an option to the individual to continue (or not continue) receiving Medical Assistance while the hearing is pending;

• Add Field 16, Supercase Number;

• Add Field 22, Date Food Stamp Hearing Request Faxed to Hearings Unit, for staff to enter the date the food stamp hearing request was faxed to the Hearings Unit; and

• Add Field 23, Date Follow-Up Documents Mailed to Hearings Unit, to notify the Hearings Unit follow-up documents are sent for the hearing.

At the time the IM-87 is faxed to the Administrative Hearings Unit, complete field 23 to indicate if follow-up documents are being sent separately. When the follow-up documents are actually sent to the Hearings Unit, enter the date in Field 24. Attach a copy of the hearing request with the follow-up documents. This alerts the Hearings Unit that these are additional documents for a previously requested hearing and helps to eliminate a duplicate hearing for the individual.

The IM-87 form and instructions are available on the Intranet. An initial shipment of the IM-87 is being sent to county offices. Upon receipt, destroy/recycle all versions of the IM-87 and instructions prior to 10/04.

• Review this memorandum with all appropriate staff.
• Destroy/recycle all versions of form IM-87 and instructions prior to 10/04.