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This document serves as a notice from the Arizona Corporation Commission regarding the opportunity for respondents to request a hearing regarding the proposed revocation of their securities dealer
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How to fill out NOTICE OF OPPORTUNITY FOR HEARING REGARDING PROPOSED ORDER OF REVOCATION AND FOR OTHER AFFIRMATIVE ACTION

01
Obtain the NOTICE OF OPPORTUNITY FOR HEARING form from the relevant authority's website or office.
02
Read the instructions carefully to understand the requirements for completion.
03
Fill in your personal information at the top of the form, including your name, address, and contact details.
04
Provide any necessary identification numbers, such as a license or permit number, as requested.
05
Clearly state the reason for your request for the hearing, providing detailed information about the proposed order of revocation.
06
Include any evidence or documentation that supports your case.
07
Review the completed form for any errors or omissions.
08
Sign and date the form to certify that the information provided is true and accurate.
09
Submit the form by the specified deadline, following the indicated submission process (mail, online upload, etc.).
10
Keep a copy of the submitted form for your records.

Who needs NOTICE OF OPPORTUNITY FOR HEARING REGARDING PROPOSED ORDER OF REVOCATION AND FOR OTHER AFFIRMATIVE ACTION?

01
Individuals or entities who have received a proposed order of revocation from a regulatory agency.
02
License holders who wish to contest the revocation and seek a hearing.
03
Parties concerned about their rights or privileges being revoked due to regulatory actions.
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It is a formal notification that provides individuals an opportunity to contest the proposed revocation of their licenses or permits, outlining the necessary procedures and conditions for a hearing.
Typically, individuals or entities whose licenses or permits are subject to revocation are required to file this notice.
To fill out the notice, applicants must provide their personal information, the details of the proposed revocation, and any evidence or arguments that support their request for a hearing.
The purpose is to ensure that affected parties have the chance to present their case and contest the proposed action before any final decision is made.
The notice must include the licensee’s information, specifics about the proposed revocation, the grounds for the action, and instructions for scheduling a hearing.
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