Form OMHA-100 Request for Administrative Law Judge (Alj) Hearing or Review of Dismissal

What Is Form OMHA-100?

This is a legal form that was released by the U.S. Department of Health and Human Services on July 1, 2020 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

• Released on July 1, 2020;
• The latest available edition released by the U.S. Department of Health and Human Services;
• Easy to use and ready to print;
• Yours to fill out and keep for your records;
• Compatible with most PDF-viewing applications;
• Fill out the form in our online filing application.

Download a fillable version of Form OMHA-100 by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services.