Skip Navigation

United States Department of Health & Human Services
line

Print Print    Download Reader PDF

Departmental Appeals Board (DAB)

Briefing Forms - IG Appeals before Administrative Law Judge José A. Anglada

Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®.

IG All 1128 (PDFThis is a PDF File) (WordThis is a Word File)
1128(a)(1) 5 Years (PDFThis is a PDF File) (WordThis is a Word File)
1128(a)(1) and or (a)(3) 5 Years (PDFThis is a PDF File) (WordThis is a Word File)
1128(a)(1) and or (a)(3) More than 5 Years (PDFThis is a PDF File) (WordThis is a Word File)
1128(a)(1) More than 5 Years.pdf (PDFThis is a PDF File) (WordThis is a Word File)
1128(a)(2) 5 Years (PDFThis is a PDF File) (WordThis is a Word File)
1128(a)(2) More than 5 Years (PDFThis is a PDF File) (WordThis is a Word File)
1128(a)(3) 5 Years (PDFThis is a PDF File) (WordThis is a Word File)
1128(a)(3) More than 5 Years (PDFThis is a PDF File) (WordThis is a Word File)
1128(a)(4) 5 Years (PDFThis is a PDF File) (WordThis is a Word File)
1128(a)(4) More than 5 Years (PDFThis is a PDF File) (WordThis is a Word File)
1128(b)(1) 3 Years (PDFThis is a PDF File) (WordThis is a Word File)
1128(b)(1) More than 3 Years (PDFThis is a PDF File) (WordThis is a PDF File)
1128(b)(2) 3 Years (PDFThis is a PDF File) (WordThis is a Word File)
1128(b)(2) More than 3 Years (PDFThis is a PDF File) (WordThis is a Word File)
1128(b)(3) 3 Years (PDFThis is a PDF File) (WordThis is a Word File)
1128(b)(3) More than 3 Years (PDFThis is a PDF File) (WordThis is a Word File)
1128(b)(4) Exclusion, Coterminous with Loss of License (PDFThis is a PDF File) (WordThis is a Word File)
1128(b)(4) Exclusion, Period of Years, & Coterminous with Loss of License (PDFThis is a PDF File) (WordThis is a Word File)
1128(b)(5) Exclusion Period Coterminous with Suspension or Exclusion Term (PDFThis is a PDF File) (WordThis is a Word File)
1128(b)(5) Exclusion, Period of Years, & Coterminous with Suspension or Exclusion Term (PDFThis is a PDF File) (WordThis is a Word File)
Exhibit List - IG or Petitioner (PDFThis is a PDF File) (WordThis is a Word File)

If you need assistance in selecting the briefing form appropriate for your appeal, then please call the Departmental Appeals Board, Civil Remedies Division, at (202) 565-0221.

Last Revised: December 31, 2008

spacer

HHS Home | Questions? | Contact HHS | Accessibility | Privacy Policy | FOIA | Disclaimers

The White House | USA.gov | Helping America's Youth | HHS Archive