This is a legal form that was released by the Tennessee Department of Human Services - a government authority operating within Tennessee. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form HS-3058?
A: Form HS-3058 is the Consolidated Appeal Request.
Q: What is the purpose of Form HS-3058?
A: The purpose of Form HS-3058 is to request a hearing if you disagree with a decision made by your state's health and human services agency.
Q: Who should use Form HS-3058?
A: Anyone who wants to appeal a decision made by the health and human services agency in Tennessee should use Form HS-3058.
Q: What information do I need to provide on Form HS-3058?
A: You will need to provide your personal information, the type of assistance you are appealing, and the reason for your appeal.
Q: Is there a deadline for submitting Form HS-3058?
A: Yes, there is a deadline for submitting Form HS-3058. It is important to check with your state's health and human services agency for the specific deadline.
Q: What happens after I submit Form HS-3058?
A: After you submit Form HS-3058, your request will be reviewed and a hearing will be scheduled. You will receive a notice with the date, time, and location of the hearing.
Q: Can I bring someone with me to the hearing?
A: Yes, you have the right to bring someone with you to the hearing for support or representation.
Q: What should I do to prepare for the hearing?
A: To prepare for the hearing, you should gather any supporting documents, such as letters or medical records, that can help make your case.
Form Details:
Download a fillable version of Form HS-3058 by clicking the link below or browse more documents and templates provided by the Tennessee Department of Human Services.