State Hearings Manual - Ohio
State Hearings Manual Table of Contents
Mike DeWine, Governor Kimberly Hall, Director
Ohio Department of Job and Family Services
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eManual Contents
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State Hearings Manual 1000 State Hearings
Transmittal Letters
Policy
2000 Administrative Disqualification Hearings
State Hearings Manual Appendix
State Hearings Manual Transmittal Letters
SHMTL 40 (State Hearings ? Updated Forms)
State Hearings Manual Transmittal Letter (SHMTL) # 40
July 22, 2019
TO:
All State Hearings Manual Holders
FROM:
Kimberly Hall, Director
SUBJECT: State Hearings ? Updated Forms
This SHMTL contains one internal form that is revised for accuracy and compatibility with existing computer systems. The effective date of the form is July 2019. Additionally, one form has been obsoleted and not replaced.
JFS Form 04067, "APPEAL SUMMARY," effective 05/2001 is obsolete and replaced by JFS 04067, "APPEAL SUMMARY," Effective 07/2019. This revised form removes outdated references to assistance group name and assistance group case number and food stamps. The updated form utilizes language which is consistent with current technology.
JFS Form 04085, "PRIOR NOTICE OF RIGHT TO A STATE HEARING," effective 2/2014 is obsolete and is not being replaced. All of the information contained on this form is reflected on the recently revised JFS Form
04065. Users are asked to utilize the JFS Form 04065 and discontinue use of the JFS Form 04085.
Instructions:
LOCATION
Remove
Insert
FORMS
JFS 04067 (effective 5/2001) JFS 04067 (effective 7/2019)
JFS 04085 (effective 2/2014) Do not replace
This information is also available in the Internet and may be accessed at: ODJFS ELECTRONIC MANUALS: Innerweb Calendar: Internet Calendar:
SHMTL 39 (State Hearings ? Updated Forms)
State Hearings Manual Transmittal Letter (SHMTL) # 39
July 1, 2019
TO:
All State Hearings Manual Holders
FROM:
Kimberly Hall, Director
SUBJECT: State Hearings ? Updated Forms
This SHMTL contains six internal forms that have been revised for accuracy and compatibility with existing computer systems. The effective date of the forms is June 2019. Additionally, one form has been obsoleted.
JFS Form 04025, "IMPORTANT NOTICE ABOUT YOUR WELFARE BENEFITS," effective 05/2001 is obsolete and replaced by JFS 04025, "IMPORTANT NOTICE ABOUT YOUR WELFARE BENEFITS," Effective 06/2019. This revised form removes outdated references to the now-obsolete spend-down program and updates the phrase "nursing home payment liability" to "monthly share of cost." The updated form also places boxes to capture the case name, case number and form mail date at the top of page 2. Finally, the form provides all of the current methods for requesting a state hearing at the bottom of page 2 including the self-service web portal.
JFS Form 04065, "PRIOR NOTICE OF RIGHT TO A STATE HEARING," effective 05/2001 is obsolete and replaced by JFS 04065, "PRIOR NOTICE OF RIGHT TO A STATE HEARING," Effective 06/2019. This revised form removes outdated references to the now-obsolete spend-down program. The updated form also places boxes to capture the case name, case number and form mail date at the top of page 2. This form corrects the phone number for the Legal Aid office in Ohio. Finally, the form provides all of the current methods for requesting a state hearing at the bottom of page 2 including the self-service web portal.
JFS Form 04074, "NOTICE OF APPROVAL OF YOUR APPLICATION FOR ASSISTANCE," effective 09/2011 is obsolete and replaced by JFS 04074, "NOTICE OF APPROVAL OF YOUR APPLICATION FOR ASSISTANCE," Effective 06/2019. This revised form places fields to capture a request for a hearing by telephone or the need for a specific interpreter and removes reference to the former DFA program on page 2. Moreover, the form provides all of the current methods for requesting a state hearing at the bottom of page 2 including the self-service web portal.
JFS Form 04074-SPA, "NOTICE OF APPROVAL OF YOUR APPLICATION FOR ASSISTANCE," effective 09/2011 is obsolete and replaced by JFS 04074-SPA, "NOTICE OF APPROVAL OF YOUR APPLICATION FOR ASSISTANCE," Effective 06/2019. This revised form places fields to capture a request for a hearing by telephone or the need for a specific interpreter and removes reference to the former DFA program on page 2. Additionally, the form provides all of the current methods for requesting a state hearing at the bottom of page 2 including the self-service web portal. Finally, the form corrects the Ohio Legal Aid Phone number and corrects Spanish language grammatical errors.
JFS Form 07334, "NOTICE OF DENIAL OF YOUR APPLICATION FOR ASSISTANCE," effective 09/2011 is obsolete and replaced by JFS 07334, "NOTICE OF DENIAL OF YOUR APPLICATION FOR ASSISTANCE," Effective 06/2019. This revised form places fields to capture a request for a hearing by telephone or the need for a specific interpreter and removes reference to the former DFA program on page 2. Moreover, the form provides all of the current methods for requesting a state hearing at the bottom of page 2 including the self-service web portal.
JFS Form 07334-SPA, "NOTICE OF DENIAL OF YOUR APPLICATION FOR ASSISTANCE," effective 12/2010 is obsolete and replaced by JFS 07334-SPA, "NOTICE OF DENIAL OF YOUR APPLICATION FOR ASSISTANCE," Effective 06/2019. This revised form places fields to capture a request for a hearing by telephone or the need for a specific interpreter and removes reference to the former DFA program on page 2. Additionally, the form provides all of the current methods for requesting a state hearing at the bottom of page 2 including the self-service web portal. Finally, the form corrects the Ohio Legal Aid Phone number and corrects Spanish language grammatical errors.
JFS Form 04022, "NOTICE OF MEDICAL DETERMINATION AND RIGHT OF STATE HEARING," effective 3/2002 is obsolete and is not being replaced.
Instructions:
LOCATION
Remove
Insert
FORMS
JFS 04025 (effective 5/2001)
JFS 04025 (effective 6/2019)
JFS 04065 (effective 5/2001)
JFS 04065 (effective 6/2019)
JFS 04074 (effective 9/2011)
JFS 04074 (effective 6/2019)
JFS 04074-SPA (effective 9/2011) JFS 04074-SPA (effective 6/2019)
JFS 07334 (effective 9/2011)
JFS 07334 (effective 6/2019)
JFS 07334-SPA (effective 12/2010) JFS 07334-SPA (effective 6/2019)
JFS 04022 (effective 3/2002)
No replacement
This information is also available in the Internet and may be accessed at: ODJFS ELECTRONIC MANUALS: Innerweb Calendar: Internet Calendar:
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