PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form DHS/FIA334
for the current year.
Form DHS / FIA334 Request for Fair Hearing - Maryland
What Is Form DHS/FIA334?
This is a legal form that was released by the Maryland Department of Human Services - a government authority operating within Maryland. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the DHS/FIA334 Request for Fair Hearing?
A: The DHS/FIA334 Request for Fair Hearing is a form used in Maryland to request a fair hearing related to public benefits provided by the Department of Human Services (DHS) or the Department of Health and Mental Hygiene (DHMH).
Q: What is the purpose of the DHS/FIA334 Request for Fair Hearing?
A: The purpose of the DHS/FIA334 Request for Fair Hearing is to allow individuals to request a fair hearing when they disagree with a decision made by the Department of Human Services (DHS) or the Department of Health and Mental Hygiene (DHMH) regarding their public benefits.
Q: Who can use the DHS/FIA334 Request for Fair Hearing form?
A: The DHS/FIA334 Request for Fair Hearing form can be used by individuals who receive or have applied for public benefits in Maryland and wish to appeal a decision made by the Department of Human Services (DHS) or the Department of Health and Mental Hygiene (DHMH).
Q: What should I include in the DHS/FIA334 Request for Fair Hearing form?
A: In the DHS/FIA334 Request for Fair Hearing form, you should include your personal information, the specific decision you are appealing, the reasons for your disagreement, and any supporting documents or evidence.
Form Details:
- Released on July 1, 2017;
- The latest edition provided by the Maryland Department of Human Services;
- Easy to use and ready to print;
- Available in Spanish;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form DHS/FIA334 by clicking the link below or browse more documents and templates provided by the Maryland Department of Human Services.
Download Form DHS / FIA334 Request for Fair Hearing - Maryland
1
2
