Hearing File. If you ask for a hearing, the State Hearing Office will set up a file. You have the right to see this file. The State may give your file to the Welfare Department, the U.S. Department of Health and Human Services and the U.S. Department of Agriculture. (W. & I. Code Section 10950). EP 5 (4/99) My Name: (Print) Address: My Case Number: My signature: Phone: Date: NOTICE OF ACTION COUNTY OF STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES Notice Date : Case Name : Number : Worker Name : Number : Telephone : Address :
Hearing File. If you ask for a hearing, the State Hearing Office will set up a file. You have the right to see this file. The State may give your file to the Welfare Department, the U.S. Department of Health and Human Services and the U.S. Department of Agriculture. (W. & I. Code Section 10950). NA BACK 8 ■ I need a free interpreter. My language or dialect is: My name: Address: Phone: My case number: My signature: Date: NOTICE OF CHANGE CASH ASSISTANCE PROGRAM STATE OF CALIFORNIA HEALTH AND WELFARE AGENCY DEPARTMENT OF SOCIAL SERVICES COUNTY OF Case FOR IMMIGRANTS (CAPI) Notice Date : Name : Number : Worker Name : Number : Telephone: Address : (ADDRESSEE) Questions? Ask your Worker.
Hearing File. If you ask for a hearing, the State Hearing Division will set up a ◼ I want the person named below to represent me at this ERRORS ONLY (ADDRESSEE) The County Welfare Department made a mistake. Too many Food Stamps were issued to you. Here's why: You received $ in extra food stamps that were issued for the period This amount was reduced by $ because we received repayment of part of the amount owed. You now owe $ . • You do not have to use any SSI benefits you get to repay this overissuance. Rules: These rules apply. You may review them at your welfare office: MS 63-801.22, 63-801.43, 63-801.7. Notice Date : Case Name : Number : Worker Name : Number : Telephone : Address : Questions? Ask your Worker.
Examples of Hearing File in a sentence
The following Agency Exhibits were entered: Exhibit 1 – Board Hearing File.
The following Agency Exhibits were entered:Exhibit 1 – Board Hearing File.
The Parties and Witnesses may not speak to matters beyond the scope of the Hearing File (for example, by raising potential misconduct allegations that go beyond the scope of the charged conduct).
The Board Hearing File was entered into the record as Exhibit #1.
Parties will also receive a log describing gathered materials that were not included in the Hearing File.
More Definitions of Hearing File
Hearing File. If you ask for a hearing, the State Hearing Division will set up a file. You have the right to see this file before your hearing and to get a copy of BIRTH DATE PHONE NUMBER STREET ADDRESS CITY STATE ZIP CODE SIGNATURE DATE NAME OF PERSON COMPLETING THIS FORM PHONE NUMBER I want the person named below to represent me at this hearing. I give my permission for this person to see my records or go to the hearing for me. (This person can be a friend or relative but cannot interpret for you.) NAME PHONE NUMBER
Hearing File. If you ask for a hearing, the State Hearing Office will set up a file. You have the right to see this file. The State may give your file to the Welfare Department, the U.S. Department of Health and Human Services and the U.S. Department of Agriculture. (W. & I. Code Section 10950). NA BACK 8 I need a free interpreter. My language or dialect is: My name: Address: Phone: My case number: My signature: Date: NOTICE OF ACTION (Continued) Underpayment Amount Owed COUNTY OF STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES Notice Date : Case Name : (For Underpayments Occurring on or after 1-1-98) Number Worker : Name : Number : Underpayment Month and Year: A Net Countable Income Total Business Income $ Business Expenses A. 40% Standard OR –
Hearing File. If you ask for a hearing, the State Hearing Office will set up a file. You have the right to see this file. The State may give your file to the Welfare Department, the U.S. Department of Health and Human Services and the U.S. Department of Agriculture. (W. & I. Code Section 10950). EP 5 (4/99) My Name: (Print)
Hearing File. If you ask for a hearing, the State Hearing Office will set up a file. You have the right to see this file. The State may give your file to the Welfare Department, the U.S. Department of Health and Human Services and the U.S. Department of Agriculture. (W. & I. Code Section 10950). NA BACK 8 ■ I need a free interpreter. My language or dialect is: My name: Address: Phone: My case number: My signature: Date:
Hearing File. If you ask for a hearing, the State Hearing Division will set up a file. You have the right to see this file before your hearing and to get a copy of the county's written position on your case at least two days before the hearing. The state may give your hearing file to the Welfare Department and the U.S. Departments of Health and Human Services and Agriculture. (W&I Code Sections 10850 and 10950.) CITY STATE ZIP CODE SIGNATURE DATE NAME OF PERSON COMPLETING THIS FORM PHONE NUMBER I want the person named below to represent me at this hearing. I give my permission for this person to see my records or go to the hearing for me. (This person can be a friend or relative but cannot interpret for you.) NAME PHONE NUMBER STREET ADDRESS CITY STATE ZIP CODE NA BACK 9 (REPLACES NA BACK 8 AND EP 5) REQUIRED FORM - NO SUBSTITUTE PERMITTED STATE OF CALIFORNIA—HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES DEPARTMENT OF HEALTH SERVICES FOOD STAMP BENEFITS YOUR RIGHTS AND RESPONSIBILITIES When you apply for food stamp benefits, you have rights and responsibilities. Your most important right is to be treated fairly without regard to race, color, national origin, political beliefs, religion, gender, age or disability. If you think you have been discriminated against, you may file a complaint by:
Hearing File. If you ask for a hearing, the State Hearing Office will set up a file. You have the right to see this file. The State may give your file to the Welfare Department, the U.S. Department of Health and Human Services and the U.S. Department of Agriculture. (W. & I. Code Section 10950). NA BACK 8 I need a free interpreter. My language or dialect is: My name: Address: Phone: My case number: My signature: Date: NOTICE OF ACTION (Continued) COUNTY OF STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES Notice Date : Case Underpayment Amount Owed Name : (For Underpayments Occurring on or after 1-1-98) Number : Worker Name : Number : Underpayment Month and Year: A Net Countable Income Total Business Income $ Business Expenses A. 40% Standard OR –
Hearing File. If you ask for a hearing, the State Hearing Division will set up a ◼ I want the person named below to represent me at this FOOD STAMP REPAYMENT NOTICE FOR ADMINISTRATIVE ERRORS ONLY FINAL NOTICE (ADDRESSEE) Notice Date : Case Name : Number : Worker Name : Number : Telephone : Address : Questions? Ask your Worker.