1. (A) All complaints shall be in writing. iB) The uetitioner shall include in the

   1. 1. The full name. address and teleuhone

\ number of-

1. A. The petitioner; and
2. B. Any attorney representing peti-

tioner;

1. 2. Suitable space in the caption for the

commission to affix a case number;

1. 3. That the petitioner is a provider;
2. 4. The identification and date of the

department’s action which the petitioner is appealing; and

1. 5. If the petitioner seeks reimbursement,

that the amount to be reimbursed exceeds five hundred dollars ($500).

1. (C) The petitioner shall accompany his/her complaint with a copy of the department’s notice of the action which rives rise to the complaint.

2. (D) The pet,itioner or petitioner’s legal counsel shall sign the complaint.

   Rebecca McDoweil Cook (4/28/95j secreialy Of stare

1. (E) The complaint may contain a motion for stay.
2. (2) The petitioner shall file the original of the complaint at the commission’s office with sufficient copies for all parties.
3. (3) Notice. The commission shall serve notice of and a copy of the complaint on petitioner and the department by delivery or certified mail.
4. (4) The petitioner may amend the complaint without the commission’s leave any time before the department serves a responsive pleading. After the department serves a responsive pleading, petitioner shall amend the complaint only with the commission’s leave.
5. (5) The commission shall construe the provi. sions of this rule liberally if the petitioner has prepared the complaint without legal counsel.
6. (6) The provisions of this rule, except section (3), apply to amended complaints. Auth: section 621.198, RSMo (1994).* Original rule f&d Aug. 5,1991, effective Feb. 6, 1992. Amended: Filed Oct. 31, 1994, effective May 28, 1995. “Original authority 1965, ammded 1978.