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BEFORE THE Department of [Department Name]

OF THE STATE OF MONTANA

In the matter of the [adoption|amendment|repeal] of [ARM (rule numbers) OR New Rule[s] I pertaining to [brief topic summary] / )
)
)
) / RULEMAKING PETITION

TO: All Concerned Persons

1. Petitioner's name and address is [Contact Name], [Address], [City], [State], [Zip Code].

2. [Facts showing petitioner will be affected; for ex.: Petitioner owns a three-story wood rooming house. Per ARM 1.6.604, petitioner is required to install a sprinkler system. The cost to petitioner would be $5000.]

3. [Reason for the proposed agency action; for ex.: Petitioner asserts a sprinkler system is not necessary because the second and third floors of the structure contain two fire exits leading to a fire escape and a heat-sensing alarm would be an alternative.]

4. [It's easy to create additional areas. Highlight the sections you need copied. Then do Copy (ctrl-c). Place the cursor where you want the new text and do Paste (ctrl-v).]

ADOPTION:

The rule[s] as proposed to be adopted would provide[s] as follows:

[NEW RULE I CATCHPHRASE Text of rule]

AMENDMENT:

The rule[s] as proposed to be amended would provide[s] as follows, new matter underlined, deleted matter interlined:

[ARM number CATCHPHRASE Text of rule]

REPEAL:

The rule[s] as proposed to be repealed would provide[s] as follows:

[[ARM number CATCHPHRASE] found at page [##] of the Administrative Rules of Montana.

5. [Option 1:] [Petitioner has no knowledge of any person who may have a particular interest in the proposed agency action]; OR

[Option 2:] [Persons known to petitioner to have an interest in the proposed agency action are: [Contact Name], [Address], [City], [State], [Zip Code].

6. [Option 1:] [Petitioner requests a [hearing or oral presentation] for expression of petitioner's and other interested persons' views]; OR

[Option 2:] [Petitioner requests neither a hearing nor oral presentation of petitioner's views].

WHEREFORE, petitioner requests the [Department Name] to [type of proposed agency action].

[Petitioner's Signature]

[Type name]

[Month Day, 20##].