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STATE OF MICHIGAN STATE OFFICE OF ADMINISTRATIVE HEARINGS AND RULES FOR THE DEPARTMENT OF COMMUNITY HEALTH P.O. Box 30763, Lansing, MI 48909 (877) 833-0870; Fax: (517) 334-9505 IN THE MATTER OF:,
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Upon form appellants request is a formal document submitted by individuals or entities appealing a decision or judgment.
Individuals or entities who want to appeal a decision or judgment are required to file upon form appellants request.
To fill out upon form appellants request, individuals or entities must provide their contact information, details of the decision being appealed, the reasons for the appeal, and any supporting documents.
The purpose of upon form appellants request is to formally request a review or reconsideration of a decision or judgment.
Upon form appellants request must include contact information, details of the decision being appealed, reasons for the appeal, and any supporting documents.
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