Date:
To: Director Administrative Law Judge
From:
Last Name:
First Name:
Email Address:
1) Docket Number: Note the number on your Notice of Hearing. It will resemble the following format: 97A-1234-ROC
2) I have sent an e-mail with attachment entitled on the following date:
3) I have sent a copy of this motion to the following
(include name address and method, e.g. mail, fax, e-mail, and the date sent.)
NOTE: Failure to send copies to all other parties may result in your motion not being acted upon.Rules
4. Placing a mark in the signature space below constitutes my certification that I have read the document, that I have a good faith basis for submission of the document, and that it is not filed for the purpose of delay or harassment.
Signature
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