Request to Reschedule or Cancel an Administrative Interview or Hearing

If you have received an interview or hearing notice and need to change the date—or cancel altogether—this official fillable PDF is the right tool. The form complies with state licensing requirements and can be completed directly in your browser using Formize's PDF Filler, so you never have to download, print, or scan.

Key benefits:

• Fully fillable fields that match the original government document.
• Automatic validation to reduce errors.
• Instant download of a completed PDF you can email, fax, or mail to the hearing examiner.

Use this form whenever you need to request a new interview date, ask for a cancellation, or provide a valid reason for the change (medical emergency, travel conflict, etc.). The completed request should be sent to the address or fax number listed on your original interview notice.

Below you’ll find step‑by‑step instructions, common pitfalls to watch out for, and answers to the most common questions.