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3530 Wilshire Boulevard, Suite 1140 Los Angeles, CA 90010 TEL (213) 7382816 FAX (213) 6374748 HIVCOMM@LACHIV.ORG https://hiv.lacounty.gov(REVISED) BLACK/AFRICAN AMERICAN COMMUNITY (BAAL) TASK FORCE

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How to fill out complaint for administrative review

01

Obtain the necessary form for filing a complaint for administrative review.

02

Fill in your personal information such as name, address, phone number, and email.

03

Write a detailed description of the issue or decision you are challenging.

04

Include any relevant supporting documents or evidence, such as correspondence or official forms.

05

Sign and date the complaint form before submitting it as per the guidelines provided.

Who needs complaint for administrative review?

01

Individuals who have received an unfavorable decision or action from an administrative agency or official.

02

Individuals who believe their rights have been violated by an administrative agency.

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What is complaint for administrative review?

Complaint for administrative review is a formal written request to review a decision made by an administrative agency.

Who is required to file complaint for administrative review?

Any individual or entity that is aggrieved by a decision made by an administrative agency may be required to file a complaint for administrative review.

How to fill out complaint for administrative review?

To fill out a complaint for administrative review, one must provide specific details about the decision being challenged, grounds for the challenge, and any supporting evidence.

What is the purpose of complaint for administrative review?

The purpose of a complaint for administrative review is to seek a reversal or modification of a decision made by an administrative agency.

What information must be reported on complaint for administrative review?

Information such as the decision being challenged, grounds for the challenge, supporting evidence, contact information of the filer, and any other relevant details must be reported on a complaint for administrative review.

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