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Attachment A Decision No. C170430 Proceeding No. 14G0433CP Page 1 of 8BEFORE THE PUBLIC UTILITIES COMMISSION OF THE STATE OF COLORADO Proceeding No. 14G0433CP Civil Penalty Assessment Notice No. 109385PUBLIC
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How to fill out civil penalty assessment notice

01
Review the civil penalty assessment notice carefully to understand the charges and penalties.
02
Complete the personal information section of the notice, including your name, address, and contact information.
03
Provide any required identification or reference numbers, such as a citation number or case number.
04
Read the instructions and explanations provided with the notice to understand the options for response.
05
Decide whether to accept or contest the civil penalty. If you choose to accept, follow the instructions for payment.
06
If you decide to contest the civil penalty, prepare a written response explaining your reasons for contesting.
07
Include any supporting documents or evidence that may help support your case.
08
Submit the completed civil penalty assessment notice and any additional documentation within the specified timeframe.
09
Keep a copy of all documents for your records and follow up with the appropriate authority to ensure your response is received and processed.
10
Await further communication or instructions regarding the civil penalty assessment.

Who needs civil penalty assessment notice?

01
Individuals or entities who have been assessed a civil penalty for a particular violation or offense.
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A civil penalty assessment notice is a formal document issued by a regulatory agency informing an individual or organization of a penalty for violating a law or regulation.
Any individual or organization that has been found in violation of a law or regulation and is subject to penalties may be required to file a civil penalty assessment notice.
To fill out a civil penalty assessment notice, one must provide information about the violation, details of the penalty assessed, and any supporting documentation.
The purpose of a civil penalty assessment notice is to inform individuals or organizations of penalties for violating laws or regulations and to provide a mechanism for resolving the issue.
Information that must be reported on a civil penalty assessment notice includes details of the violation, penalty amount, deadline for payment, and any instructions for disputing the penalty.
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