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Office of Administrative Hearings

Request for Hearing in a Shelter Case

Use the form attached below if you want a hearing before an Administrative Law Judge because you disagree with a decision, action, or inaction by a shelter provider subject to the Department of Human Services (DHS). Attach a copy of the shelter provider’s decision if you have one.

Visit the Filings & Forms page for instructions on how you can file your completed form with OAH.

Utilice este formulario si desea una audiencia ante un juez de derecho administrativo porque no está de acuerdo con una decisión, acción o falta de acción de un proveedor de albergue sujeto a Departamento de Servicios Humanos (en inglés, DHS). Usted debe adjuntar copia de la decisión del proveedor de albergue si la tiene.

Ingrese en la página Spanish (Español) para obtener instrucciones sobre cómo puede presentar su formulario completo ante la OAH.

በሰው አገልግሎት ክፍል (Department of Human Services (DHS)) በመጠለያ አቅራቢ የተወሰነን ውሳኔ፤ እርምጃ፤ ወይም ውሳኔ አለመስጠት (inaction) በለመስማማትዎ ምክንያት በአስተዳደር ህግ ዳኛ (Administrative Law Judge) ፊት መቅረብ ከፈለጉ ይህንን ቅጽ ይጠቀሙ። የመጠለያ አቅራቢው ውሳኔ ቅጂ ካለዎት ያያይዙ።

የተጠናቀቀውን ቅጽ በOAH እንዴት ማስገባት እንደሚችሉ መመሪያዎችን ለማግኘት የAmharic (አማርኛ) ገጽ ይጎብኙ።