N.Y. Comp. Codes R. & Regs. tit. 14, Appendices, app 112

Current through Register Vol. 46, No. 43, October 23, 2024
Appendix 112

Application For Hearing On

Adverse Ruling Relating To

Approval To Operate

Drug Abuse Treatment And/Or

Preventive Education Programs

TO: New York State Drug Abuse Control Commission

Albany, New York 12203

PLEASE TAKE NOTICE that in accordance with the provisions of Chapter XXV of 14 NYCRR

2020.11

___________

(Voluntary Agency) hereby requests a hearing on the adverse ruling issued in the name of the Commission, dated ________, and relating to approval to operate a drug abuse treatment and/or preventive education program.

Dated: ________

____________

(Voluntary Agency)

____________

(Address)

N.Y. Comp. Codes R. & Regs. tit. 14, Appendices, app 112