A party who sends a document relating to a benefit contested case hearing to the division shall also deliver copies of the document to all other parties as provided in § 140.9 of this title (Requests by Parties). Delivery shall be accomplished by presenting in person, mailing by first class mail, facsimile, or electronic transmission. The document sent to the division shall contain a statement certifying delivery. The following statement of certification shall be used: "I hereby certify that I have on this _____ day of __________, _____, delivered a copy of the attached document to (state the names of all parties to whom a copy was delivered) by (state the manner of delivery)."
28 Tex. Admin. Code § 142.4