(e) Failure to follow the procedure in subdivisions (a) to (d) of this subrule may
result in the return of the request for compliance or in denial as specified in subrule (8)
of this rule.
(2) Figure 1 reads as follows:
Figure 1: Request for Declaratory Ruling
Department of Consumer and Industry Services
Request for Declaratory Ruling
Applicant’s full name:
Applicant ’s degree or title (if applicable):
Applicant ’s full name:
Professional/occupational lice nse
no. (if applicable):
Daytime telephone no.:
Name and address of legal counsel (if applicable):
Statement of facts: (Please provide a complete, accurate and concise statement of the facts or situation upon which
the request is based. The statement shall include all facts known to you which are or may be relevant to a
determination of the applicability of statute, rule, final order or decision.)
Laws /Rules /Orders: (Please provide references to all statutes, rules, final decisions or
orders which are to be considered.)
Issues: (Please provide a concise statement of the issues presented.)
Analysis and Conclusions: (Please provide an analysis, legal brief or memorandum of the issues
presented, including reference to any legal authority relied upon , and the applicant ’s conclusions.)
Certification : I hereby certify the existence of the actual state of facts set forth and the submission
of all relevant facts known to me:
Date:
Signature:
Page 2