1. (a) Parties shall file any notice of appeal in writing, by one of the methods specified in Per-A 204.02 (b) (1) through (3).
2. (b) In order to be timely, parties shall file such notice of appeal with the board within 15 calendar days of the date of the action giving rise to the appeal.
3. (c) If the notice of appeal is submitted electronically or by facsimile transmission, the appellant shall nonetheless file with the board an original and 5 additional hard copies on clean, 8 1/2 inch by 11 inch paper and otherwise comply with the provisions of Per-A 204.02.

4. (d) A party filing an appeal shall supply the following information on the notice of appeal:

   1. (1) The name, address, telephone number, fax number and e-mail address, if any, of the party making the appeal;
   2. (2) The name, address, telephone number, fax number and e-mail address, if any, of any person representing the party making the appeal;
   3. (3) The name and address of the party whose decision is being appealed;
   4. (4) A copy of the decision or order giving rise to the appeal;
   5. (5) The date of the action under appeal;
   6. (6) A statement identifying the rule(s) that the party believes were improperly applied in effecting the action under appeal;
   7. (7) The specific reason(s) that the party believes that the action taken was inappropriate;
   8. (8) A detailed statement of facts supporting the party's assertion that the action taken was inappropriate;
   9. (9) A signed statement attesting to the truthfulness of the statement(s) or representation(s) made in the appeal; and

   10. (10) A signed statement certifying that a copy of the appeal and any documents submitted in support of that appeal have been served on every other party to the appeal, together with a statement of:

       1. a. The date of service;
       2. b. The address to which service was made; and
       3. c. The manner or method of service.

Source. (See Revision Note at chapter heading for Per-A 200) #7378, eff 10-23-00; ss by #9205, eff 10-23-08