01-001 DEPARTMENT OF AGRICULTURE, CONSERVATION AND FORESTRY

1. FORMS

1. A. Petition shall be made on forms developed by the Secretary of State and adopted by the Department, which forms shall be supplied by the Department in sufficient number to any person requesting them.
   1. NOTE: A copy of the petition form(s) now in use is attached hereto.
   2. B. It is anticipated that multiple petition forms may be circulated as part of any one petition. The petitioner shall complete page one of the petition form and attach it to each petition copy before circulating for signatures.

2. CERTIFICATION OF PETITIONS.

1. The petition must be verified and certified according to procedures defined by Title 21, Section 494, sub-section 7, prior to presentation to the Department.

3. SUBMISSION OF PETITION AND TEXT OF PROPOSED RULE

1. Petitions shall be submitted to: Commissioner, Department of Agriculture, Conservation and Forestry, Augusta, Maine 04333. All petition forms which are part of any one petition shall be submitted simultaneously.

4. ACTION ON PETITION

1. A petition may be submitted with or without accompanying signatures.
   1. A. If the petition is submitted containing less than 150 signatures, and is in accordance with paragraphs 1, 2, and 3 herein, the Department may initiate appropriate rule-making proceedings but is not required to do so. If the Department does initiate appropriate rule-making proceedings, it shall send a copy of the notice of rulemaking to the person designated as the petitioners' representative. If the Department declines to initiate appropriate rule-making proceedings, it shall notify the designee, in writing, of its denial and state the reasons therefor. The Department shall initiate appropriate rule-making proceedings or send its written notice of denial, as the case may be, within 60 days after receipt of the petition.
   2. B. If a petition is submitted containing 150 or more signatures in accordance with paragraphs 1, 2, and 3 herein, the Department shall initiate appropriate rule-making proceedings within 60 days after receipt of the petition. The Department shall send a copy of the notice of rule-making hearing to the designee of the petitioner(s) and any other person having requested such notice.

STATUTORY AUTHORITY: 5 M.R.S.A. §8055(2)

EFFECTIVE DATE:

October 5, 1980

AMENDED:

April 25, 1982

EFFECTIVE DATE (ELECTRONIC CONVERSION):

May 4, 1996

CONVERTED TO MS WORD:

August 8, 2005

CORRECTIONS:

February, 2014 – agency names, formatting

CONVERTED DOCUMENT TO AN UPDATED VERSION OF WORD:

April 17, 2026

APAO ACCESSIBILITY CHECK (Word):

April 17, 2026

STATE OF MAINE

PETITION TO REQUIRE AGENCY RULEMAKING

We, the undersigned qualified voters of the State of Maine, hereby

petition the ______________________________________________

(Name of Agency)

pursuant to 5 M.R.S.A. §8055 to: (check one)

□ Adopt a □ Modify □ Repeal

New Rule Chap.______ Sec._______ Chap._______ Sec._______

The proposed change would ______________________________________________________

(Summarize content and impact of proposal)*

The text of the new or modified rule would read:*

For purposes of communication with the agency concerning this petition, the petitioners designate as their representative the following individual:

__________________________ FOR AGENCY USE

(Name)

__________________________ Completed petition was received by

Mailing Address) _____________________________

__________________________ (Agency)

(Phone) _____________________________

(Signature)

*Use additional page(s), if necessary

STATE OF MAINE

AUTHENTICATION OF PETITIONS FOR RULEMAKING

CIRCULATOR'S VERIFICATION

I, , hereby swear or affirm that the signatures to this petition were made in my presence and that to the best of my knowledge and belief each signature is that of the person it purports to be and each petitioner is a resident of the State of Maine.

____________________

1. (Signature of Circulator)

Subscribed and sworn before me on___________________

(Date)

_______________________

(Signature of Notary Public)

___________________________________________________________________

REGISTRAR/BOARD OF REGISTRATION CERTIFICATE

I, Registrar of Voters/Member, Board of

Registration of Voters for certify

(Name of Municipality)

that EACH of the name of the foregoing petitioners numbered (CIRCLE EACH OF THE

NUMBERS CORRESPONDING TO THE SIGNATURES BEING CERTIFIED)

appear on the voting list of this municipality as qualified voters. The total number of signatures certified is .

_________________

(Signature) (Date)