The 903 form is used to:

• A. Notify the state about violations
• B. Appeal the findings and/or remedial action plan of the program rights advisor
• C. Document service goals
• D. Schedule the next review date

Answer: (B)

Understanding how rights decisions are reviewed, the 903 form serves as the formal channel to appeal the findings and/or the remedial action plan set by the program rights advisor. When a rights review identifies violations or requires corrective actions, this form lets the recipient request reconsideration or escalation of those determinations, providing a structured way to present grounds and any supporting information. It initiates a formal review by the designated authority and outlines what outcome is being sought, helping ensure due process and a clear record of the appeal. This form isn’t used to notify the state about violations, to document service goals, or to schedule the next review date, which are handled through other procedures.