TO: (Name of candidate, including any aliases)
You are hereby notified that the New Mexico Gaming Control Board deems you to be a person to be excluded from licensed gaming establishments within the State of New Mexico, pursuant to Section 60-2E-34(A) of the Gaming Control Act, Sections 60-2E-1 through 60-2E-61 NMSA 1978. The grounds for exclusion are as follows: (designate subsections of the Act or board rules as grounds). You are further advised that you may request, within thirty (30) days from the date of service of this notice, a hearing before the Gaming Control Board pursuant to Section 60-2E-59 of the Act to show cause why your name should not be placed on the involuntary exclusion list.
DATED this ___________ day of _____________________________________, ___________.
_______________________________________________
Board Member
N.M. Admin. Code § 15.1.11.10