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This document indicates the disqualification of a claimant from receiving Food Stamp benefits due to intentional program violations, including false representation of being a fugitive felon.
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How to fill out ADMINISTRATIVE DISQUALIFICATION DECISION No. 04-806

01
Begin by downloading the Administrative Disqualification Decision form No. 04-806 from the official website or obtaining a copy from the relevant office.
02
Fill in the date at the top of the form where indicated.
03
Provide the applicant’s full name, address, and contact information in the appropriate sections.
04
Clearly state the reason for the disqualification in the designated area of the form.
05
Include any relevant case numbers or identifiers as required.
06
Offer a brief explanation or summary of the circumstances surrounding the decision.
07
Review the completed form for accuracy and ensure all required signatures are present.
08
Submit the finished form to the designated authority or office listed on the form.

Who needs ADMINISTRATIVE DISQUALIFICATION DECISION No. 04-806?

01
Individuals or entities that have been subject to disqualifying actions regarding administrative services.
02
Recipients of government assistance programs potentially facing disqualification due to violation of regulations.
03
Local or state authorities processing cases of administrative disqualification.
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People Also Ask about

Administrative hearings are the proceedings conducted by administrative law judges (ALJ) for disputes involving the regulatory jurisdiction of an executive agency.
An administrative disqualification hearing (ADH) is one method for deciding if an individual committed an intentional program violation (IPV). Waiver of Hearing: The individual may waive the right to an ADH.
Waiver of Disqualification. “Parties to the proceeding may waive disqualification even where it appears that there may be grounds for disqualification of the judge. Such waiver may occur whether the grounds for disqualification were raised by a party or by the judge, so long as the judge is willing to participate.
The Government Must Prove Its Case by a Preponderance of Evidence. In a criminal trial, you can only be convicted of a crime by proof beyond a reasonable doubt. The burden of proof at an administrative hearing is much lighter.
One of the major differences between a traditional court proceeding and an administrative hearing is that the presiding administrative law judge serves as the trier of fact. In other words, administrative law proceedings are virtually always conducted as bench trials.

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ADMINISTRATIVE DISQUALIFICATION DECISION No. 04-806 is a formal ruling issued by an administrative authority to disqualify an individual from receiving certain benefits or services due to violations of regulations or eligibility criteria.
Typically, agencies or organizations responsible for administering public benefits or services are required to file ADMINISTRATIVE DISQUALIFICATION DECISION No. 04-806 when they determine that an individual has committed a disqualifying action.
To fill out ADMINISTRATIVE DISQUALIFICATION DECISION No. 04-806, you must provide identifying information about the individual, specify the grounds for disqualification, and include any relevant evidence or explanations supporting the decision.
The purpose of ADMINISTRATIVE DISQUALIFICATION DECISION No. 04-806 is to formally document the decision to disqualify an individual from receiving benefits, ensuring that there is a clear record of the reason for disqualification and the process followed.
The information that must be reported includes the individual's name, identification number, details of the disqualifying action, the specific regulations violated, and any penalties imposed as a result of the decision.
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