INTRODUCTION
Sample Form 218a: Order Appointing a Hearing Examiner
BEFORE THE [agency] OF THE STATE OF MONTANA
In the matter of [same as | ) APPOINTMENT OF HEARING |
original notice] | ) EXAMINER |
) |
TO: All Interested Persons
On [date], a notice of hearing for [for example: revocation of insurance producer's license] was served on [name]. On [date], the agency received written notice that [name] will appear at the hearing to contest the intended agency action. [Name] is appointed the hearing examiner in the above action. All correspondence and motions in the above matter should be directed to the hearing examiner at [address].
The [agency] will make reasonable accommodations for persons with disabilities who wish to participate in this process and need an alternative accessible format of this notice. If you require an accommodation, contact [agency] no later than 5:00 p.m. on [date - no requirement specified in MAPA], to advise us of the nature of the accommodation needed. Please contact [name, address, telephone, TTD number, fax, e-mail].
Dated this _________ day of ___________________, 20___.
(must be signed by:)
By [authorized person's signature]
Mont. Admin. r. 1.3.218
2-4-202, MCA; IMP, 2-4-202, MCA;