Ala. Admin. Code r. 290-1-1-.10.2
Author: Rick Meadows, General Counsel
Statutory Authority:Code of Ala. 1975, § 41-22-8.
ALABAMA DEPARTMENT OF EDUCATION
PETITION FOR A RULE CHANGE
1. This is a petition:
[ ] To adopt a new rule
[ ] To modify an existing rule
[ ] To repeal an existing rule
2. This Petition is presented by (Petitioner):
Name: ______________________________________________
Address:
___________________________________________
Phone: ___________________________________________
3. The person signing the petition is:
[ ] The true party in interest and is the Petitioner
[ ] An officer or employee of the Petitioner
State Title: ___________________________________
[ ] Other (specify): _______________________________
________________________________________________
4. The Petitioner's representative is:
Name: __________________________________________________
Address: _______________________________________________
Phone: _________________________________________________
5. If this Petition proposes to modify or repeal an existing rule, specify the rule:
Rule No. _______________________________
(Continued on next page)
Petition For a Rule Change
Page 2
6. If this Petition proposes the adoption of a new rule, specify all existing rules it would affect, and specify what chapter of the Department Administrative Code it should be a part of.
_________________________________________________________ _________________________________________________________
7. Attach a typed (double-spaced) narrative as to why the new rule, the modification, or the repeal is needed, specifying:
(1) The persons or class of persons it would affect and how it would affect them.
(2) T he benefits and disadvantages of the proposed rule, modification, or repeal.
(3) The estimated cost or cost savings to the Department.
(4) Any other reasons why the rule, modification, or repeal should be accepted by the Department.
(5) The legal authority for the proposed rule, modification, or change.
(6) The names and addresses of any persons, organizations, and the identity of any class of persons who would be or could be adversely affected by the proposed rule, modification or repeal.
(7) This is to be labeled "Exhibit A."
8. Attach as "Exhibit B" etc., any other documents, reports or studies that you want to be considered in connection with your petition.
Date this the ____________ day of ______________, 19 ___.
___________________________________ Signature of Petitioner or Representative
Note: The original form and five (5) copies must be submitted to: Administrative Procedure Act Secretary, Alabama Department of Education, 50 North Ripley Street, Montgomery, Alabama 36130
ALABAMA DEPARTMENT OF EDUCATION
APPOINTMENT OF REPRESENTATIVE
I appoint ______________________________________ (Name)
______________________________________ (Address)
______________________________________
______________________________________
______________________________________ (Phone)
to act as my representative in connection with:
[ ] Petition for a Rule Change
[ ] Petition for a Declaratory Ruling
I hereby authorize my representative to fully act in my stead in connection with the petition involved. This appointment shall remain in full force and effect until I notify the Department of Education in writing that my representative's authority has been withdrawn.
Date _____________ Signature __________________________________
(Petitioner)
Address: __________________________________
__________________________________
__________________________________
Phone: __________________________________
(Continued on next page)
ALABAMA DEPARTMENT OF EDUCATION
ACCEPTANCE OF APPOINTMENT
I, _____________________________, hereby accept the above appointment. I certify that I have not been suspended or prohibited from practice before the Department of Education; that I am not, as an officer or employee of the State of Alabama, disqualified or otherwise exempted by law from acting as the petitioner's representative.
My relationship to the petitioner is __________________________
(attorney, legal guardian, relative, etc.)
Date _____________ Signature __________________________________
(Representative)
Address: __________________________________
__________________________________
__________________________________
Phone: __________________________________
Note: The original form must be submitted to: Administrative Procedure Act Secretary, Department of Education, 50 North Ripley Street, Montgomery, Alabama 36130.