(d) If a party elects to request a hearing, that person shall submit a written request to the Docket Clerk containing the following:
- (1) The name, address, telephone number, and email address (if available) of the respondent and the requesting party's designated representative, if any;
- (2) The specific factual issues, industry rules, regulations, or laws that the requesting party alleges need to be examined in connection with the certification decision in question; and
- (3) The signature of the requesting party or the requesting party's representative, if any.