REQUEST 2026 SUN BUCKS BENEFIT REVIEW/APPEAL

Current Appeal Information
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Description

Fair Hearing requests will be accepted only for the following reasons:
1) Custodial parent/guardian received a denial notification from the 2026 SUN Bucks Household Application

2) Custodial parent/guardian receives SNAP, TANF, or Medicaid (and meets the 185% Federal Poverty Level) or custodial parent/guardian has a child who is certified for free or reduced-price meals based on a NSLP application or custodial parent/guardian has a child who is a foster child, participates in the Migrant Education Program or the Homeless Education Program and did not receive the 2026 SUN Bucks benefit

3) Custodial parent/guardian was determined not eligible through the 2025 SUN Bucks Household Application from the verification process

If the above reasons apply to the custodial parent/guardian, please continue with this form. If the above reasons do not apply, please call 1-833-648-4406 to discuss your case.

Requests for 2025 SUN Bucks benefit review/appeal must be made by November 1, 2026. Any requests received after November 1, 2026 will not be processed and will be considered untimely.

What to expect after you submit: ADE will reach out based on the submitted contact information to schedule a phone conference. A conference is first scheduled with the custodial parent/guardian, which provides the opportunity to discuss the situation, present information, and obtain an explanation of the data submitted or the decisions rendered. If not satisfied with the outcome of the conference, the custodial parent/guardian has the right to a Fair Hearing.

Reason for Appeal Request

Please tell us why you are submitting a request for an appeal.

Custodial Parent/Legal Guardian Information

First Name and Last Name of Custodial Parent/Legal Guardian

First Name and Last Name of the custodial parent or legal guardian requesting the SUN Bucks benefit review:

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Phone number (Home)

Phone number (Work)

Phone number (Cell)

Email

Please select the preferred method of contact

Best time to reach you during normal business hours (Monday-Friday 8 a.m.- 5 p.m.):

Will the party filing this request need any language translation for the conference?

If “yes,” specify language

Student Information (1)

Child legal first and last name

Child birthdate: (Date, month and year):

Please provide the school name that the child attended in School Year 2024-2025

Street address of the school that the child attended in School Year 2024-2025

Is there another child you need to list?

Student Information (2)

Child legal first and last name

Child birthdate: (Date, month and year):

Please provide the school name that the child attended in School Year 2024-2025

Street address of the school that the child attended in School Year 2024-2025

Is there another child you need to list?

Student Information (3)

Child legal first and last name

Child birthdate: (Date, month and year):

Please provide the school name that the child attended in School Year 2024-2025

Street address of the school that the child attended in School Year 2024-2025

Is there another child you need to list?

Student Information (4)

Child legal first and last name

Child birthdate: (Date, month and year):

Please provide the school name that the child attended in School Year 2024-2025

Street address of the school that the child attended in School Year 2024-2025

Is there another child you need to list?

Student Information (5)

Child legal first and last name

Child birthdate: (Date, month and year):

Please provide the school name that the child attended in School Year 2024-2025

Street address of the school that the child attended in School Year 2024-2025

Is there another child you need to list?

Student Information (6)

Child legal first and last name

Child birthdate: (Date, month and year):

Please provide the school name that the child attended in School Year 2024-2025

Street address of the school that the child attended in School Year 2024-2025

In the case of a homeless or foster child, list available contact information:

Contact Person Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Phone Number

REVIEW/APPEAL INFORMATION

Description of why you are asking for a fair hearing.

Write a description of why you feel your child(ren)’s SUN Bucks benefit was wrongfully denied.

Description of a suggested resolution (solution) to the problem you would like to see.

Write down what you would like to see happen.

IF APPLICABLE:

NAME AND ADDRESS OF ATTORNEY REPRESENTING PARTY FILING THIS REQUEST

If you have an attorney or another person who is representing you in this request for a conference and/or a fair hearing, please fill out the contact information below.

Signature of party requesting the conference and/or a fair hearing

Type Name

Date of Signature

ADDITONAL INFORMATION FOR CUSTODIAL PARENTS/LEGAL GUARDIANS:

Info

What happens after you file your request for a conference and/or a fair hearing for the Summer Electronic Benefits Transfer (Summer EBT)?
- ADE will review your information and will reach out using the contact information provided on your request to first schedule a conference. The below circumstances must be met to proceed with a conference.
- The request was received by November 3, 2025.
- You cannot ask for a fair hearing for a denied application submitted to a school. You must request a fair hearing from the school.
What will occur during the initial conference with ADE?
- During the conference, you will have the opportunity to discuss your situation, present information, and obtain an explanation of the data submitted in the application or the decision rendered. During the conference, we hope all concerns with the decision are addressed or resolved.
If you are not satisfied with the outcome of the conference, you have the right to request a fair hearing.
- If you asked for an in-person hearing that date will be scheduled. The Hearing will be at the Arizona Department of Education's North Campus Building, at 100 N 15th Ave, Fourth Floor, Phoenix, AZ 85007
- If you asked for a written hearing, the hearing officer will ask you to send in information to show why you feel your child should have received Summer EBT. This may include pay stubs or other documents to show your income or benefits.
- You will have an opportunity to present oral or documentary evidence and arguments supporting a position without undue interference;
- If in person, you will have an opportunity to question or refute any testimony or other evidence and to confront and cross-examine any adverse witnesses;
- The hearing will be conducted, and the decision made by a hearing official who did not participate in making the application decision or in any previously held conference;
- If in person, the decision of the hearing official will be based on the oral and documentary evidence presented at the hearing and made a part of the hearing record.
The decision.
- After the hearing, the hearing officer will issue a decision in writing. The parties concerned and any designated representative will be notified in writing of the decision of the hearing official. You may not appeal the decision.
- A written record will be prepared with respect to the hearing, which must include the challenge or the decision under appeal, any documentary evidence and a summary of any oral testimony presented at the hearing, the decision of the hearing official, including the reasons therefor, and a copy of the notification to the parties concerned of the decision of the hearing official; and
- A written record of the hearing will be preserved for a period of 5 years and must be available for exam.

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