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NOTICE OF SPECIFIED PENALTY Date of Issue: June 6, 2011, Payment Due Date: July 6, 2011, MSA File Number: 2011-100 Market Participant Name: NCAA Corporation Asset ID (if applicable): EC01 Self Report
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How to fill out notice of specified penalty

How to fill out a notice of specified penalty:
01
Start by reading the instructions provided with the notice of specified penalty form. These instructions will outline the specific requirements and guidelines for filling out the form correctly.
02
Fill in your personal information accurately. This includes your full name, address, phone number, and any other requested contact information.
03
Provide the details of the penalty. Include the date the penalty was issued, the reference number or citation associated with the penalty, and any other relevant identifying information.
04
Clearly state the reason for the penalty. This may involve describing the violation or offense that led to the penalty, providing any relevant documentation or evidence to support your case.
05
Indicate whether you agree or disagree with the penalty. If you agree, you can state your willingness to pay the penalty and provide information on how you intend to do so. If you disagree, you can explain the reasons for your disagreement and any supporting evidence or arguments.
06
Sign and date the notice of specified penalty. Make sure your signature is legible and matches the name provided on the form.
07
Keep copies of the completed notice of specified penalty form and any supporting documents for your records.
08
Submit the notice of specified penalty form as instructed. This can vary depending on the issuing agency or organization. Follow the provided instructions on where to send the form and any associated fees, if applicable.
Who needs a notice of specified penalty?
01
Individuals who have received a penalty or citation for a specific violation may need a notice of specified penalty.
02
Employers who need to inform employees of penalties or consequences for certain actions or violations may use a notice of specified penalty.
03
Government agencies or organizations may use a notice of specified penalty to communicate penalties or fines for non-compliance with regulations or laws.
Answering the question:
To fill out a notice of specified penalty, follow the steps provided in the previous section. This form is required for individuals who have received a penalty or citation for a specific violation. Additionally, employers may use this notice to inform employees of penalties or consequences for certain actions or violations. Government agencies or organizations also utilize this form to communicate penalties or fines for non-compliance with regulations or laws.
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