Impartial Hearing Officer (IHO) Invoice

Document Number:  DVR-12839

Description:  This form is used by Impartial Hearing Officers (IHO) for payment of their services.

Comments:  This form should be printed and completed by hand.

Content Contact:  Kristina Krizan

Document Attachment:  DVR-12839 (pdf/16 KB)

*** If you need to access this form in an alternate format, please send an email to the Content Contact listed above.

*** Should you require the necessary software to view the above attachment, please go to the DWD Viewers Download Page.  Links to each specific vendor's site have been provided for you.  Thank you.

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