Any interested person aggrieved by any act, order, or determination of the administrator under chs. 220, 221, and 223, Stats., may file with the administrator within 10 days after the act, order, or determination to be reviewed a Notice of Appeal in the manner prescribed by s. DFI-Bkg 10.05 in the following form:
To the Wisconsin Banking Review Board:
The undersigned hereby appeals from the order of the administrator of the division of banking dated, 20, whereby it was ordered that (here set forth the substance of the order).
The nature of petitioner's interest is: (Here set forth the nature of petitioner's interest).
The grounds of appeal are the following: (Here set forth the exceptions or objections relied on, and if no answer has been filed, then also an answer to the findings of fact in the order, in the manner prescribed by s. DFI-Bkg 11.11, rules of Procedure for proceedings and hearings had before the administrator of the division of banking).
Dated, 20.
Wis. Admin. Code Department of Financial Institutions DFI-Bkg 10.03