Form Dss-8222 - Notice Of Work First Family Assistance Job Bonus - North Carolina Page 2

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Requesting a Hearing
information to be used at the hearing. You can get
free copies of this information. You may see this
If you disagree with this decision or have new
information again at your hearing.
information, you have a right to a hearing to review
this decision. This hearing is a meeting to review
Child Support Services
your case.
If you contact your caseworker by
Unless you ask the Child Support Enforcement
Agency to stop the child support services, you will
___________________________________ to ask
continue to receive them. If you choose to stop
for a hearing, your benefits will continue at the
services, but later reapply for services within thirty
present level until the first hearing decision, unless
(30) days, you will not be charged an application fee.
Contact your county’s Child Support Enforcement
you waive this right. If your benefits continue and the
hearing shows the changes were correct, you may
Office for additional information.
have to repay the benefits you received while waiting
for the hearing decision.
Reporting Changes
Don’t forget to report all changes to your county
Call or write your caseworker to ask for a hearing
th
within 60 days. The 60
day is
department of social services within 10 calendar
days. If you don’t know whether a change is
___________________________________.
important, ask your caseworker. If you do not
truthfully report information and changes, you may be
If you do not ask for a hearing by this date, you
guilty of a misdemeanor or felony.
cannot have a hearing unless you have a good
reason for missing this deadline. You may reapply
Additional questions or concerns
for benefits at any time. To protect your rights, you
may reapply and ask for a hearing.
Contact your caseworker for information, or call
DHHS Customer Support toll free at 1-800-662-7030.
A local hearing will be held within 5 days of your
TDD/Voice for the hearing impaired is also available
request unless you ask for it to be postponed. The
through the number. The hours are 8:00am-5:00pm,
hearing can be postponed, for good reasons, for as
Monday-Friday, excluding State holidays.
much as 10 calendar days.
If you think the decision in the local hearing is wrong,
call or write your caseworker WITHIN 15 DAYS to
ask for a second hearing. The second hearing is
Caseworker: _____________________________
before a state hearing official.
Telephone Number: _______________________
If you live in certain counties, the second hearing is
before a county official.
Mailing Address: _________________________
Right to be represented
________________________________________
You may have someone speak for you at your
________________________________________
hearing, such as a relative or a paralegal or attorney
obtained at your expense.
Free legal services may be available in your
community. Contact your nearest Legal Aid or Legal
Services office, or call 1-866-219-5262 toll free.
Right to see your record
If you ask, your caseworker will show you (or the
person speaking for you) your benefits record before
your hearing. If you ask, you may also see other
The North Carolina Division of Social Services does not discriminate against any person on the basis of race color, national
origin, disability, sex or age in the admission, treatment, or participation in its programs, services and activities, or in
employment.

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