What happens if I don’t submit the Waiver of Liability form?

If we don’t receive the Waiver of Liability form, we can’t accept the appeal. In that case, the appeal case file will be forwarded to MAXIMUS Federal Services, Inc. (the Independent Review Entity, or IRE) for dismissal.

Before sending a case to MAXIMUS, we’ll make reasonable efforts to get the completed form from you within the appeal timeframe.