A person requesting a modification of a board order shall submit a written request prior to a board meeting. These shall be submitted by the requesting party to the board, along with three copies of the request. The application shall include, but not be limited to:

1. (1) date of order, nature of violation;
2. (2) specific punishment on which modification is requested;
3. (3) sections on which the applicant does not request modification;
4. (4) summary of reasons for request;
5. (5) benefit to the public if granted;
6. (6) separately numbered and indexed exhibits or testimonials tending to support the request;
7. (7) notice to any patient or other party involved in the original action with an invitation to respond; and
8. (8) acknowledgment that the applicant understands that he or she is not entitled to modification of the board order.

Source Note:The provisions of this §107.66 adopted to be effective May 31, 1990, 15 TexReg 2801.