"Level I Hearing Request Form" - Delaware

This printable "Level I Hearing Request Form" is a document issued by the Delaware Department of Services for Children, Youth and their Families specifically for Delaware residents.

Download a PDF of the latest edition of the form down below or find it through the department's forms library.

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Download "Level I Hearing Request Form" - Delaware

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LEVEL I
HEARING REQUEST
FORM
TO: DELAWARE DIVISION OF FAMILY SERVICES SUBSTANTIATION
HEARING COORDINATOR
FACTS Case Number:
Date of Notice of Intent to Substantiate:
I request a hearing in the Family Court on the Notice of Intent to
Substantiate for Abuse or Neglect before this proposed Level I determination is
final.
___________________________
Print Name
___________________________
__________________________
Signature of Substantiated Person
Date
This request should be mailed to:
Substantiation Hearing Coordinator
Division of Family Services
1825 Faulkland Road
Wilmington, DE 19805
Pc: Case Record
Doc. 37-06-10-06-02-22
LEVEL I
HEARING REQUEST
FORM
TO: DELAWARE DIVISION OF FAMILY SERVICES SUBSTANTIATION
HEARING COORDINATOR
FACTS Case Number:
Date of Notice of Intent to Substantiate:
I request a hearing in the Family Court on the Notice of Intent to
Substantiate for Abuse or Neglect before this proposed Level I determination is
final.
___________________________
Print Name
___________________________
__________________________
Signature of Substantiated Person
Date
This request should be mailed to:
Substantiation Hearing Coordinator
Division of Family Services
1825 Faulkland Road
Wilmington, DE 19805
Pc: Case Record
Doc. 37-06-10-06-02-22
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