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APPEAL REQUEST FORM ELIGIBILITY (An appeal may only be made after receiving a Notice of Action)Note: If you cannot read or understand this form, call HULA Member Services at 1(877) 3334952. If you
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The appeal request form is a document that allows individuals to request a review of a decision or outcome.
Anyone who disagrees with a decision or outcome and wishes to appeal it is required to file an appeal request form.
To fill out an appeal request form, individuals must provide their personal information, explain the reasons for the appeal, and submit any supporting documents.
The purpose of the appeal request form is to give individuals an opportunity to challenge decisions or outcomes that they believe are unfair or incorrect.
The appeal request form must include the individual's name, contact information, a detailed explanation of the reasons for the appeal, and any relevant supporting documents.
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