APPENDIX I
NOTICE OF HEARING
TO: ( #2 )
You are hereby notified that a proceeding for an administrative injunction has been commenced against you by the Department of Safety and Professional Services. The petition attached to this Notice states the nature and basis of the proceeding. This proceeding may result in a special order against you under s.
440.21, Stats., enjoining you from the continuation of a practice or use of a title.
A HEARING ON THE MATTERS CONTAINED IN THE PETITION WILL BE HELD AT:
Date: ( #3 ) Time: ( #4 )
Location: Room ( #5 ),
1400 East Washington Avenue
Madison, Wisconsin
or as soon thereafter as the matter may be heard.
The questions to be determined at this hearing are whether ( #6 ).
Within 20 days from the date of service of the Notice, you must respond with a written Answer to the allegations of the Petition. You may have an attorney help or represent you. Your Answer must follow the rules of pleading in s.
SPS 3.08 of the Wisconsin Administrative Code. File your Answer with the Administrative Law Judge for this matter who is:
( #7 ), Administrative Law Judge,
Division of Hearings and Appeals, 5005 University Avenue, Suite 201, P.O. Box 7875
Madison, Wisconsin 53705-5400
Please file a copy of your answer with the division's attorney, who is:
( #8 ), Division of Enforcement,
Department of Safety and Professional Services,
P.O. Box 8935, Madison, Wisconsin 53708
If you do not provide a proper Answer within 20 days or do not appear for the hearing, you will be found to be in default and a special order may be entered against you enjoining you from the continuation of a practice or use of a title. If a special order is issued as a result of this proceeding and thereafter you violate the special order, you may be required to forfeit not more than $10,000 for each offense.
You may be represented by an attorney at the hearing. This proceeding is a class 2 proceeding as defined in s.
227.01 (3) (b), Stats. If you choose to be represented by an attorney in this proceeding, the attorney is requested to file a Notice of Appearance with the Administrative Law Judge and the division within 20 days after you receive this Notice.
The legal authority and procedures under which the hearing is to be held are set forth in ss.
227.21,
440.44, ( #9 ), Stats., and ch.
SPS 3, Wis. Admin. Code.
Dated at Madison, Wisconsin this _________day of ____________, 2_____.
______________________________
(...#10...), Attorney
INSERTIONS
1. Respondent
2. Respondent with address
3. Date of hearing
4. Time of hearing
5. Place of hearing
6. Issues for hearing
7. Administrative Law Judge
8. Division of Enforcement attorney
9. Legal authority (statute)
10. Division of Enforcement attorney