(a) The Department may file with the Board Secretary a written petition under section 4(b)(1) of the act (63 P. S. § 1004(b)(1)), by submitting a written request containing the following information:
- (1) The factual basis of the petition including the dates, times and places of the occurrences and the names of the responsible parties with sufficient specificity that the respondent can file an answer and prepare a defense to the allegations.
- (2) The statutes or regulations, or both, allegedly violated and underlying the petition.
- (3) The relief requested.
- (4) An identification of the Department attorney or contact person, including the address and telephone number, who can receive service on behalf of the Department.