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Golden Rule: A very common mistake parties make is to file a motion or send a letter to a judge without sending a copy to the other parties. Since no party would want any action taken without an opportunity to be heard, every party must make sure that all other parties are notified and given a copy of any motion or letter sent to an administrative law judge. See OAH Procedural Rule R2 -19-108(E).

1. Date:

To: 2. Director Administrative Law Judge

From: 3. Last Name: 4. First Name: 5. Email Address: 6. Mailing Address:

7. Docket Number: Note the number on your Notice of Hearing. It will resemble the following format: 97A-1234-ROC

8. Hearing Date: (example 1/1/2008)

9. Motion and grounds (see OAH Rule R2-19-106) Rules

File to be attached (optional):
Description of attached file (optional):
10. I have sent a copy of this motion to the following:
(include name address and method, e.g. mail, fax, e-mail, and the date sent.) (Party Addressee)
NOTE: Failure to send copies to all other parties may result in your motion not being acted upon.Rules

11. Entering the word AGREE in the signature space below constitutes my certification that I have read the document, that I have a good faith basis for submission of the document, and that it is not filed for the purpose of delay or harassment.
Signature:

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