Form Dma-5002 - Approval Notice - North Carolina Department Of Social Services Page 2

Download a blank fillable Form Dma-5002 - Approval Notice - North Carolina Department Of Social Services in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Dma-5002 - Approval Notice - North Carolina Department Of Social Services with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Is there a problem?
?
Did you know you have the right to see your record
.
You can ask for a hearing
If you ask, your caseworker will show you (or the person
speaking for you) your benefits record before your hearing. If
If you think we are wrong or you have new information, you
you ask, you may also see other information to be used at the
have the right to a hearing. You must ask for this hearing
hearing. You can get free copies of this information. You may
within 60 days (or 90 days if you have a good reason for delay).
see this information again at your hearing.
This hearing is a meeting to review your case and give you the
correct benefits if it was wrong.
Do you understand your rights?
Call or write your caseworker to ask for a hearing. A local
Do you understand how to get a hearing?
hearing will be held within 5 days of your request unless you
ask for it to be postponed. The hearing can be postponed, for
If you have any questions, please contact
good reasons, for as much as 10 calendar days. Then, if you
your caseworker as soon as possible.
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 before a state hearing official.
Do not forget to report all changes to your county
department of social services within 10 calendar days (5
calendar days for Special Assistance). If you do not know
If you are requesting a hearing about disability, call or write
whether a change is important, ask your caseworker. If
your caseworker to ask for a hearing. There is no local hearing.
you do not truthfully report information and changes, you
A state hearing officer holds the disability hearing.
may be guilty of a misdemeanor or felony.
Did you know you have the 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
1-877-694-2464 toll free.
,
If you have additional questions or concerns
contact your
caseworker for information, or call the CARE-LINE,
Information and Referral Service, toll free at 1-800-662-7030.
If you live in the Raleigh area, call 919-855-4400. TDD/Voice
for the hearing impaired is also available through the CARE-
LINE number. Their hours of operation are 8 am to 5 pm,
Monday through Friday.
DMA-5002 10/01/09

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go
Page of 2