Self-Help Form: DHS Fair Hearing Request

Welcome! This online interview was developed by the Legal Aid Society of Hawaii for use by low-income persons representing themselves, however it is available free of charge to all persons. These forms are not for commercial use and charging for use in any way is prohibited.

Use this interactive interview if you would like to complete a DHS Fair Hearing Request because your application for state benefits was denied or your current state benefits were reduced or ended.  State benefits may include: financial assistance, medical benefits, food stamp benefits, social service benefits and other benefits. We suggest you read our publication Department of Human Services: The Appeals Process before completing this interview.

What do I need to get started?

It is helpful to use the following document to help complete the self-help interview:

• The Denial or Reduction Letter from DHS