1. (a) Adjudicative proceedings shall be commenced by filing a notice of appeal as specified by this section with the board.

2. (b) Persons filing a notice of appeal shall include the following:

   1. (1) The exact legal name of each person seeking the relief and the person’s address;
   2. (2) A copy of the decision or order which is being appealed;
   3. (3) A clear and concise statement of the relief sought and the statutory provision(s) under which the relief is sought;
   4. (4) A concise and explicit statement of the facts upon which the board is expected to rely in granting relief; and
   5. (5) The appellants signature and date signed.
3. (c) A notice of appeal may also include such other information as the appellant deems pertinent and relevant, and there may be attached to said notice exhibits, illustrations, and documents.
4. (d) The appellant shall also provide a copy of the notice of appeal to the director and to the commissioner of the department.

Source. #7307, eff 6-13-00; ss by #9178-A, eff 6-13-08