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Connecticut's regulations System Tracking Number PR2017059 Posted 10/16/2018 Form NOD ICM (Rev. 3/2016) State of Connecticut Office of the Secretary of the StateInstruction Prentice of Decision Form
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Step 1: Start by reading the instructions on the notice of decision form carefully.
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Step 2: Fill in your personal information, such as your name, address, and contact details.
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Step 3: Indicate the decision you are appealing or responding to.
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Step 4: Clearly state your reasons for disagreement or the actions you plan to take in response to the decision.
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Who needs notice of decision form?

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Anyone who has received a decision that they disagree with and wishes to appeal or respond to it.
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Individuals or organizations who need to officially document their disagreement or their intended actions in response to a decision.
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Those who need to provide additional information, evidence, or clarification related to a decision that has been made.
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The notice of decision form is a document used to communicate decisions made by a regulatory authority or government agency regarding applications, permits, or other approvals.
Organizations or individuals who have received approval from a regulatory authority or government agency are typically required to file the notice of decision form.
To fill out the notice of decision form, provide all required information such as the applicant's details, decision date, type of decision, and any conditions or terms associated with the decision.
The purpose of the notice of decision form is to formally document and communicate the outcome of a decision-making process to affected parties and to ensure transparency.
The information that must be reported includes the applicant's name and address, decision type, decision date, relevant permit or application numbers, and any stipulations or conditions.
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