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DHS-Request for Hearing in an Emergency Rent/Utility Assistance Case


Saturday, June 9, 2012

If you have applied for emergency rent or utility assistance from a provider and been denied, you may file an appeal at the Office of Administrative Hearings. If you are told of an eviction date, notify the Office of Administrative Hearings immediately.

Submit a copy of the provider's decision with this form or as soon as possible.

Attachment(s): 
PDF icon DHS-Request for Hearing in an Emergency Rent/Utility Assistance Case
Microsoft Office document icon DHS-Request for Hearing in an Emergency Rent/Utility Assistance Case