(1) Pursuant to 2-4-631(3), MCA, if an agency makes a determination that public health, safety, or welfare requires emergency action, the agency may order immediate suspension of a license. The order must include findings justifying emergency action, and revocation proceedings must be promptly instituted and determined.

(a) See sample form 213a.

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��������� Sample Form 213a:� Notice of Immediate Suspension or Revocation of a License

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������������������������� BEFORE THE [agency] OF THE STATE OF MONTANA

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In the matter of [type of license and�������� )������� NOTICE OF [action taken - for ex:
name of holder (for example:� Insurance� )������� SUSPENSION OF PRODUCER'S
Producer's License of John Doe)]������������ )������� LICENSE] AND HEARING FOR
����������� ����������������������������������������������������� )������� [SUSPENSION OR REVOCATION]
����������������������������������������������������������������� )������� OF [TYPE OF LICENSE]

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����������� TO:� [name of license holder]

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����������� At [time, date], at [room, building, address], a hearing will be held for the [suspension or revocation] of the [type of license] of [name of license holder].�

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����������� The [agency] will make reasonable accommodations for persons with disabilities who wish to participate in this hearing or need an alternative accessible format of this notice.� If you require an accommodation, contact [agency] no later than 5:00 p.m. on [date - no requirement specified in MAPA], to advise of the nature of the accommodation that is needed.� Please contact [name, address, telephone, TTD number, fax, e-mail].�

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����������� This hearing is held under the authority of [Section ________, MCA].� Violation of [MCA section or agency regulation] is alleged.�

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����������� Pending the hearing, the [type of license] of [name of license holder] is [suspended or revoked] as of the date of this notice.� This [suspension or revocation] is based on - for example:� Option 1:� misappropriation to his own use money belonging to a policyholder, specifically the sum of $500 from Mary Smith on or about the 1st day of March, 2008; or Option 2:� misappropriation to his own use money belonging to a policyholder.� A more definite and detailed statement of the allegation may be obtained by applying to [name, address].�

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����������� The [agency] finds that the public welfare imperatively requires emergency action, in that [finding of fact - for example:� John Doe has notified the commissioner that he intends to continue the practice of retaining for his own use initial payments received by him from his clients].�

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����������� You are entitled to attend the hearing and present evidence and arguments on whether the [suspension or revocation] should be made permanent.� You have a right to be represented by counsel at the hearing.� If you wish to contest [suspension or revocation], or if you desire to waive formal proceedings under 2-4-603, MCA, you must notify [name, address] in writing within [number of days which provides a reasonable opportunity to prepare] days of service of this notice on you.� Failure to notify [name] of your contest of this action will result in [suspension or revocation] on the date of this hearing.�

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����������� Dated this ______ day of _____________________, 20___.

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����������������������������������������������������������������������������������� ��� (must be signed by:)
����������������������������������������������������������������������� � By�����    [authorized person's signature]   

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