Transmit a Case to the Division

A state or local agency seeking to have case heard by an administrative law judge in Administrative Hearings Division may submit a Transmittal Slip using this written form or may do so electronically using the online form below.

The name of the agency, as it should appear in the case caption.
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Select whether the hearing should be scheduled in-person or telephone.
Please attach (1) the notice of decision or other document showing the agency action; (2) the appeal or request for hearing; and (3) any additional necessary documents.
Files must be less than 16 MB.
Allowed file types: pdf doc docx.

Printed from the website on May 29, 2020 at 8:43am.