Form HCA12-512 Administrative Hearing Withdrawal - Washington

Form HCA12-512 Administrative Hearing Withdrawal - Washington

What Is Form HCA12-512?

This is a legal form that was released by the Washington State Health Care Authority - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form HCA12-512?
A: Form HCA12-512 is the Administrative Hearing Withdrawal form in Washington.

Q: What is an Administrative Hearing?
A: An Administrative Hearing is a formal proceeding where individuals can present evidence and arguments to challenge decisions made by government agencies.

Q: Who can use Form HCA12-512?
A: This form can be used by individuals who want to withdraw their request for an administrative hearing in Washington.

Q: What information is required on Form HCA12-512?
A: Form HCA12-512 requires you to provide your name, contact information, the case number, and a brief statement indicating your desire to withdraw the request for an administrative hearing.

Q: Is there a deadline for submitting Form HCA12-512?
A: There may be a deadline for submitting Form HCA12-512, which will be specified in the notification you received regarding the administrative hearing request.

Q: What are the consequences of withdrawing a request for an administrative hearing?
A: By withdrawing a request for an administrative hearing, you are essentially giving up your opportunity to challenge the decision made by the government agency in question.

Q: Can I reconsider my decision to withdraw the request for an administrative hearing?
A: It is possible to reconsider your decision to withdraw the request, but you may need to follow certain procedures and meet specific requirements to do so.

Q: Is there a fee for submitting Form HCA12-512?
A: As of now, there is no fee specified for submitting Form HCA12-512, but it is always best to check the latest information provided by the Washington State Office of Administrative Hearings.

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Form Details:

  • Released on June 1, 2014;
  • The latest edition provided by the Washington State Health Care Authority;
  • 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 HCA12-512 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.

Download Form HCA12-512 Administrative Hearing Withdrawal - Washington

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