§ 3041.164. Notice of ineligibility.

 (a)  The notice of ineligibility must be on a form provided by the Department.

 (b)  If the eligibility agency determines a family ineligible for subsidy, the written notification shall include the following:

   (1)  The decision.

   (2)  The reason for the decision.

   (3)  A citation, and brief explanation in simple, nontechnical language, of the applicable section of this chapter or other applicable law that was the basis for the decision.

   (4)  The name, address and telephone number of the local legal services office where the parent or caretaker may obtain free legal representation.

   (5)  The right of the parent or caretaker to appeal the decision and how to appeal as specified in § §  3041.162 and 3041.171 (relating to notice of right to appeal; and appealable actions).

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