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Request a Fair Hearing

You may request a fair hearing in any of the following ways:

Once your fair hearing request is processed, we will send you notification (OAH-4420 Acknowledgement of a Fair Hearing Request) by US Mail.

Online Request Form

You may request a Fair Hearing using the Fair Hearing Online Request Form. You must have JavaScript enabled in order to use the online forms.

Mail or Fax a Printable Request Form

Complete a printable version of the Fair Hearing Request Form (PDF). To preserve any aid-continuing rights, be sure to fax or postmark your request as described in the Notice of Intent. This form may be faxed to 518-473-6735 or mailed to the following address:

New York State Office of Temporary and Disability Assistance
Office of Administrative Hearings
P.O. Box 1930
Albany, NY 12201-1930

If your request involves an issue about health benefits or services provided under your Managed Care Plan or Managed Long Term Care you can write to:

NYS Office of Temporary and Disability Assistance
Office of Administrative Hearings
Managed Care Hearing Unit
P.O. Box 22023
Albany, New York 12201-2023

Request by Telephone

Telephone request for Fair Hearings can be made by calling our statewide toll-free number: 1 (800) 342-3334

If you live in NYC and need to request an emergency Fair Hearing, you may call 1 (800) 205-0110. This number is only for emergency situations. Requests that do not involve emergencies will not be taken at this number.

Speech or Hearing Impaired Individuals

Please contact the New York Relay Service at 711 or 1 (800) 622-1220 and request that the operator call us at 1 (877) 502-6155. Service at this number will only be provided to callers using TDD equipment.

Request in Person

A request for a Fair Hearing may be made in person at the following locations:

New York City
Office of Temporary and Disability Assistance
Office of Administrative Hearings
14 Boerum Place, 1st Floor
Brooklyn, New York 11201
Directions to 14 Boerum Place

Albany
Office of Temporary and Disability Assistance
Office of Administrative Hearings
40 North Pearl Street, 15th Floor
Albany, New York 12243

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