HAR §23-4-3. Format and certification of petition

(a) Any interested person may petition for an administrative relief hearing with the department either in person or by mail. The petition shall be legibly written or typed to include the following: (1) The first page of every petition shall set forth the name, full address, and phone number of the petitioner; (2) The petition shall set forth the text of the: (A) Statement of relief requested and the reasons therefore; and (B) Identification of the specific statutory provisions, department order, or rule in question; and (3) The last page of every petition shall be signed in ink by the petitioner or the petitioner's authorized representative. This signature shall constitute certification that the person signing the petition has read the petition and that to the best of the person's knowledge, the petition is true or has good grounds to support it. 4-2 2282