Fair Hearing Request Form
or use the E-Fair Hearing Request Form (Online)
Helpful Documents
We are happy to provide advocates with documents that we believe will be most useful in preparation for a Fair Hearing. This list is by no means exhaustive but is intended to give you some commonly used resources, forms, and links.
To assist your clients or constituents in requesting and preparing for their Fair Hearing:
Provide client with Fair Hearing information, comprised of the following forms:
Provide client with supplemental material as needed:
To request Compliance with a Fair Hearing:
Know Your Rights: ADA Fair Hearing Rights (April 2012)
This document will assist you in understanding what your rights are when you have a disability and need HRA to give you a “reasonable accommodation” based on your disability and, it can guide you through the steps for requesting this accommodation.
ADA Form to Request a Reasonable Accomodation (April 2012)
Use this form to ask HRA to help you deal with HRA, WeCare, or the Back-to-Work program.