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This document outlines the decision made during an Administrative Disqualification Hearing concerning Claimant One and Claimant Two regarding their disqualification from TANF Cash Assistance and Food
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How to fill out ADMINISTRATIVE DISQUALIFICATION HEARING DECISION No. 04-879

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Step 1: Obtain the ADMINISTRATIVE DISQUALIFICATION HEARING DECISION form No. 04-879.
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Step 2: Read the instructions carefully to understand the required information.
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Step 3: Fill in the case number in the designated area.
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Step 4: Provide the date of the hearing at the specified location.
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Step 5: Include the names of all parties involved in the hearing.
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Step 6: State the reason for the disqualification clearly.
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Step 7: Detail the findings of the hearing, including any evidence presented.
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Step 8: Indicate the decision made by the hearing officer.
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Step 9: Sign and date the form, ensuring all information is accurate.

Who needs ADMINISTRATIVE DISQUALIFICATION HEARING DECISION No. 04-879?

01
Individuals involved in administrative disqualification hearings related to benefit programs.
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Participants who receive a notice of disqualification and wish to appeal the decision.
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ADMINISTRATIVE DISQUALIFICATION HEARING DECISION No. 04-879 is a formal decision made during a hearing that addresses allegations of fraud or other disqualifying actions related to the receipt of public assistance or benefits. It serves as an official record of the findings and conclusions reached during the administrative process.
The parties involved in the hearing, including the agency responsible for administering benefits and the individuals accused of misconduct, are typically required to file ADMINISTRATIVE DISQUALIFICATION HEARING DECISION No. 04-879.
To fill out ADMINISTRATIVE DISQUALIFICATION HEARING DECISION No. 04-879, the person completing the form must enter relevant details such as the case number, names of the parties involved, findings of fact, conclusions of law, and any penalties imposed. Clear and accurate information should be provided to ensure compliance with legal standards.
The purpose of ADMINISTRATIVE DISQUALIFICATION HEARING DECISION No. 04-879 is to document the results of a hearing regarding a person's eligibility for public assistance, determine if disqualification is warranted, and outline any penalties or actions to be taken as a result of the hearing.
The information that must be reported on ADMINISTRATIVE DISQUALIFICATION HEARING DECISION No. 04-879 includes the names and contact information of the parties involved, date of the hearing, case details, evidence reviewed, findings, conclusions, and any sanctions or penalties that are imposed.
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