SRS Forms

Instructions

Please be advised there are time limits or deadlines in which your appeal must be filed.
Review the notice you received from SRS so you are aware of the deadline or deadlines in your particular case or cases.

While no specific form is required, below are copies of forms you may use. Be sure to:

Print the form.
Complete the form as best you can.
Identify the specific action you are appealing and the SRS office that took the action you are appealing.
Sign the form.
Attach a copy of the notice from which you are appealing.
Send to the Office of Administrative Hearings via U.S. mail or FAX (785) 296-4848.

Forms

Request for Administrative Hearing
Notice of withdrawal of appeal