1. (a) A clear and concise statement of what action taken by the Health and Welfare Agency or its component department, whichever is involved in the direct service contractual dispute, is being appealed.
2. (b) The reason(s) the action(s) taken by the Health and Welfare Agency or its component department is (are) not correct.
3. (c) The name, address and telephone number of the private non-profit human service organization's authorized representative for the proceeding.

A petition by a private, non-profit human service organization requesting a hearing authorized by the provisions of Health and Safety Code Section 38057 shall be submitted in writing to the Health and Welfare Agency or its component department, whichever is involved in the direct service contractual dispute, and contain the following information:

Note: Authority cited: Section 38065, Health and Safety Code. Reference: Section 38065, Health and Safety Code.

History

1. Change without regulatory effect renumbering former section 255 to new section 1144 filed 7-11-97 pursuant to section 100, title 1, California Code of Regulations (Register 97, No. 28).