2106.1 An appeal shall be filed with OHE within the time prescribed by §§ 708 and 709.

2106.2 Each request for a hearing shall include:

(a) The full name of the respondent or appellant, and the full name of the appellant's or respondent's representative, if any, appearing on the appellant's or respondent's behalf pursuant to § 2108;

(b) The mailing address, email address, and telephone number of the appellant or respondent, or of the appellant's representative, if any;

(c) A brief statement of the reasons for the appeal;

(d) A brief statement of the relief sought from OHE; and

(e) A copy of the document reflecting the Department's decision to deny a new or renewed license, the notice of proposed suspension, or the notice of proposed revocation.

SOURCE: Final Rulemaking published at 64 DCR 7895 (August 11, 2017).