Form OMHA-119 Withdrawal of Request for Administrative Law Judge (Alj) Hearing or Review of Dimissal

Form OMHA-119 Withdrawal of Request for Administrative Law Judge (Alj) Hearing or Review of Dimissal

What Is Form OMHA-119?

This is a legal form that was released by the U.S. Department of Health and Human Services on March 1, 2017 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is form OMHA-119?
A: Form OMHA-119 is used to withdraw a request for an Administrative Law Judge (ALJ) hearing or review of dismissal.

Q: Who can use form OMHA-119?
A: Any individual or entity who has requested an ALJ hearing or review of dismissal can use form OMHA-119 to withdraw their request.

Q: What is the purpose of form OMHA-119?
A: The purpose of form OMHA-119 is to formally withdraw a request for an ALJ hearing or review of dismissal.

Q: How do I use form OMHA-119?
A: To use form OMHA-119, fill out the required information, sign and date the form, and submit it to the appropriate address or fax number provided on the form.

Q: Is there a deadline for submitting form OMHA-119?
A: There is no specific deadline for submitting form OMHA-119, but it is recommended to submit it as soon as possible after deciding to withdraw the request for an ALJ hearing or review of dismissal.

Q: Are there any fees associated with form OMHA-119?
A: No, there are no fees associated with form OMHA-119.

ADVERTISEMENT

Form Details:

  • Released on March 1, 2017;
  • The latest available edition released by the U.S. Department of Health and Human Services;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form OMHA-119 by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services.

Download Form OMHA-119 Withdrawal of Request for Administrative Law Judge (Alj) Hearing or Review of Dimissal

4.5 of 5 (74 votes)
  • Form OMHA-119 Withdrawal of Request for Administrative Law Judge (Alj) Hearing or Review of Dimissal, Page 1
ADVERTISEMENT