Department of Human Services

Please use the correct DHS division form to request an Administrative Hearing:

Med-QUEST Division (MQD) – Medical Assistance (*Updated 9/20/19)

• DHS 1161 Form Instructions (Rev. 12/18)
• DHS 1161 Form “Request For A Hearing” (Rev. 12/18)

Social Services Division (SSD)

• Child Welfare Services (CWS) Branch (Child Protective Services)
• Adult Protective & Community Services (APCS) Branch (Adult Community Services) (formerly ACCSB)
• Adult Protective Services (APS)

Benefit, Employment, and Support Services Division (BESSD)

• DHS 1461 Form “Request for a Hearing” (Rev. 10/14) – Use this form for Public Assistance, including SNAP and Financial Assistance (e.g.,  TANF, General Assistance, AABD).

Division of Vocational Rehabilitation (DVR) – Contact the DVR for guidance