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

Notes

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

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