General Petition Form (Form H-06) |
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 Recipient Appeals, use the Hearing Request Form supplied by DHHS or your MCO.
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Personnel Petition Form (Form H-06A) |
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 - Personnel Act. |
Child Support Tax Intercept Petition Form (Form H-06B) |
For filing a contested case if you have received a Notice of Intent to Intercept your taxes for child support from the North Carolina Department of Health and Human Services and the Notice sets out your appeal rights specifically to the Office of Administrative Hearings. |
Child Support Distribution Petition Form (Form H-06C) |
For filing a contested case if you are a custodial parent who has received a Notice of Overpayment stating that you were overpaid child support and the Notice sets out your appeal rights specifically to the Office of Administrative Hearings. |
Child Support Credit Report Petition Form (Form H-06D) |
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 the Notice sets out your appeal rights specifically to the Office of Administrative Hearings. |
Special Education Petition Form (Form H-06E) |
For filing a due process contested case in a special education case. (This form should not be used to appeal a Manifestation Determination review decision. See Form H-06E-A below.) |
Special Education Manifestation Determination Petition Form (Form H-06E-A) |
For filing a due process contested case in a special education case regarding a Manifestation Determination review decision. (Consultant for Dispute Resolution updated Sept. 1, 2017) |
Contested Tax Petition Form (Form H-06F) |
For filing a contested case if you have received a Notice of Final Determination from the NC Department of Revenue. (This form should not be used for tax intercept issues. See Form H-06B above.) |
Request to Proceed in Forma Pauperis (Previously Indigent Status Petition Form (Form H-0I)) |
For requesting a waiver of the contested case filing fee due to financial hardship. (Not all cases require a filing fee. See Contested Case Filing Fees for a representative list of filing fees.) |
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