Waiver Of Time
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Waiver Of Time Form. This is a California form and can be use in Office Of Administrative Hearings Statewide.
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Tags: Waiver Of Time, California Statewide, Office Of Administrative Hearings
Office of Administrative Hearings DEPARTMENT OF REHABILITATION Waiver of Time Appellant's Printed Name OAH No. Waiver of Time Set by Law for Mediation and/or Fair Hearing I waive my right to have a mediation within 25 days of the date my written request was received by the Department (Cal. Code Regs, tit. 9 § 7353.6 (b)). I waive my right to have a fair hearing within 60 days of the date my written request was received by the Department (Welf. & Inst. Code § 19704 (c)). I do not waive my right to have the hearing officer render a decision within 30 days of the submission of the case for decision (Welf. & Inst. Code, § 19705, subd. (d)(3)(c) Cal. Code Regs, tit. 9 § 7358). Signature: Appellant or Authorized Representative Printed Name of Signing Party Signature Date (Rev May-14) www.dgs.ca.gov/oah American LegalNet, Inc. www.FormsWorkFlow.com
