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State of Utah Department of Workforce Services (DWS) in conjunction with the Utah Department of Health and Human Services fax number

(877) 824-6534

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Fair Hearing – Department of Workforce Services (DWS) / Department of Health and Human Services

Used for: Fair hearing request submission for public assistance programs (SNAP, medical, etc.)

Fax destination details

Department
Fair Hearing – Department of Workforce Services (DWS) / Department of Health and Human Services
Purpose
Fair hearing request submission for public assistance programs (SNAP, medical, etc.)
Form
DWS-ESD 490 — DWS-ESD 490 Fair Hearing Request
Address
P.O. Box 143245, Salt Lake City, UT 84114-3245
Voice phone
1-877-837-3247

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Fill out this form and fax it to 877-824-6534 (toll free); you may also submit by mail. See the form for program options and deadlines.

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