Contents -


Commissioner Review



Complete the following information about the review of the commissioner.

Commissioner Review Date

Enter the date on which the review was held.

Reviewer(s)

Enter the name(s) of all people who have reviewed the request.  Separate the names by a comma between each one.

Commissioner Decision

Select the decision reached by using the down arrow () next to the field.

Affirmed

Affirmed in Part

Dismissed

Reversed

Reversed in Part and Remanded

Reversed and Remanded

Settled

Withdrawn