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State of West Virginia DEPARTMENT OF HEALTH AND HUMAN RESOURCES Office of Inspector General Board of Review P.O. Box 970 Danville, WV 25053 Joe Man chin III Governor Martha Yeager Walker Secretary
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The hearing request is based on a dispute or issue that requires a formal hearing procedure to resolve.
The party or parties involved in the dispute or issue are required to file the hearing request.
The hearing request should be filled out completely and accurately with all relevant information and documentation related to the dispute or issue.
The purpose of the hearing request is to formally request a hearing in order to address the dispute or issue in a fair and impartial manner.
The hearing request must include details about the nature of the dispute, the parties involved, any relevant documents or evidence, and the desired outcome of the hearing.
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