Revision : 3
Record Description : Record contains documents used for individual state hearings. File may contain, but is not limited to, State Hearing Request form (DHS-4069), State Hearing Scheduling Notice (DHS-4002), Notice of Action taken on Hearing Request (DHS-4000), Hearing Record Certification (DHS-4015) and Appeals Summary (DHS-4067), Administrative Appeal Requests, County Reviews, Administrative Appeal Decisions, Compliance (JFS 04068), Compliance Records, Judicial Review Requests and Judicial Review Decisions.