Sample fair hearing request letter - Guardian ad Litem
Sample fair hearing request letter
BY U.S. MAIL & FACSIMILE (850-487-0662)
July 30, 2008
Office of Appeal Hearings
Department of Children and Families
Building 5, Room 203
1317 Winewood Blvd.
Tallahassee, Fl. 32399-0700
RE: [name, address, date of birth]
Dear Sir/Ms:
This letter is to request a Medicaid fair hearing on behalf of XXX. XXX’ s Medicaid benefits were erroneously terminated on July 30, 2008. XXX is still eligible for the Medicaid program. We are requesting that XXX’s benefits be promptly reinstated since this termination occurred without any advance written notice provided to XXX.
Please let me know the time and date for the hearing.
Sincerely,
................
................
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