A request for an appeal must be in writing on forms developed and provided by the department. The subject shall submit the written request for an appeal and formal hearing to:

Appeals Supervisor North Dakota Department of Human Services State Capitol - Judicial Wing 600 East Boulevard Avenue Bismarck, North Dakota 58505-0250

The written request must include:

1. A succinct statement by the subject as to why the subject disagrees with the decision;

2. All reasons or grounds the subject disagrees with must be included in a single request for appeal; and

3. A statement of the relief sought by the subject.

History: Effective September 1, 1990; amended effective November 1, 1994; January 1, 1996; September 1, 1997.

General Authority: NDCC 50-25.1-05.4

Law Implemented: NDCC 50-25.1-05.4