Documents

H-05 Subpoena form with instructions

H-06 General Petition Form - For filing most contested cases. NOTE: for Personnel, Child Support, Special Education, or Contested Tax Cases, use the appropriate form H-06A to H-06F; for Medicaid cases, use the hearing request form supplied by NC DHHS

H-06A Personnel Petition Form - For filing an appeal of a personnel decision if you are a State employee, local government employee, applicant for employment or former employee covered under Chapter 126-North Carolina Human Resources Act

H-06B Child Support Tax Intercept Petition Form - For filing a contested case if you have received from the NC DHHS a Notice of Intent to Intercept your taxes for past due child support and the notice sets out your appeal rights specifically to the Office of Administrative Hearings

H-06C Child Support Distribution Petition Form - For filing a contested case if you are a custodial parent who has recieved a Notice of Overpayment stating that you were overpaid child support and sets out your appeal rights specifically to the Office of Administrative Hearings

H-06D Child Support Credit Report Petition Form - For filing a contested case if you have received a Child Support Consumer Credit Report Notice that your support obligation information will be forwarded to a credit reporting agency and sets out your appeal rights specifically to the Office of Administrative Hearings.

H-06E-A Special Education Manifestation Determination Petition Form - For filing a contested case (due process) hearing on a special education case regarding a Manifestation Determination review decision (Consultant for Dispute Resolution updated September 1, 2017)

H-06E Special Education Petition Form - For filing a contested case (due process) hearing on a special education case. (except for Manifestation Determination, see form H-06E-A)

H-06F Contested Tax Petition Form - For filing a contested case if you have received a Notice of Final Determination from the NC Department of Revenue. Note: this form should not be used for tax intercept issues.

H-08 Designation of Mediator Form

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