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2021 California Code
Welfare and Institutions Code - WIC
DIVISION 4.5 - SERVICES FOR THE DEVELOPMENTALLY DISABLED
CHAPTER 7 - Appeal Procedure
ARTICLE 1 - Definitions
Section 4702.6.
Universal Citation: CA Welf & Inst Code § 4702.6 (2021)
4702.6.
“Hearing request form” means a document that shall include the name, address, and birth date of the claimant, date of request, reason for the request, and name, address, and relationship to the claimant of the authorized representative, if any, and whether the claimant is a participant in the medicaid home and community-based waiver. The hearing request form shall also indicate whether the claimant or his or her authorized representative is requesting mediation. A copy of the appointment of the authorized representative, by the claimant or the State Council on Developmental Disabilities if any, shall also be included.
(Amended by Stats. 2014, Ch. 409, Sec. 55. (AB 1595) Effective January 1, 2015.)
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