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Online Request for a Public Assistance Hearing

Request a public assistance hearing on any action taken by the Department of Children and Families (DCF) on your claim for Supplemental Nutrition Assistance Program (SNAP), Temporary Cash Assistance (TCA), and/or Medicaid benefits. 

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I Am

Representative for applicant or recipient information

First Name
Relationship to applicant/recipient

Applicant/Recipient Information

Requestor Name

What programs are you appealing?

For any other program not listed please call our office.

Select all the Programs that apply

What action are you appealing?

Select all the actions that apply
If the Department’s action is a reduction or termination of benefits, are you seeking continued benefits while the hearing is pending?
Will you need a special accommodation or professional language interpreter at the hearing?