ORDER FORM FOR ALABAMA ADMINISTRATIVE MONTHLY AND ALABAMA ADMINISTRATIVE CODE

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ORDER FORM FOR ALABAMA ADMINISTRATIVE MONTHLY AND ALABAMA ADMINISTRATIVE CODE ALABAMA ADMINISTRATIVE MONTHLY Subscription-$60.00 Annually (October through September) ALABAMA ADMINISTRATIVE CODE, $600.00 PER SET. UPDATES FOR CODE, $120.00 PER YEAR. (The Code is supplemented quarterly and will be mailed automatically to subscribers.) Name and Address: Telephone Number ( ) Please Return (With Check) To: Legislative Services Agency Administrative Procedure Division 208 Alabama State House Montgomery, AL 36130 Telephone (334) 242-7570 A-1

APA-1 Revised 4/2018 TRANSMITTAL SHEET FOR NOTICE OF INTENDED ACTION Control Department or Agency Rule No._ Rule Title: New Amend Repeal Adopt by Reference Would the absence of the proposed rule significantly harm or endanger the public health, welfare, or safety? Is there a reasonable relationship between the state s police power and the protection of the public health, safety, or welfare? Is there another, less restrictive method of regulation available that could adequately protect the public? Does the proposed rule have the effect of directly or indirectly increasing the costs of any goods or services involved and, if so, to what degree? Is the increase in cost, if any, more harmful to the public than the harm that might result from the absence of the proposed rule? Are all facets of the rulemaking process designed solely for the purpose of, and so they have, as their primary effect, the protection of the public? Does the proposed action relate to or affect in any manner any litigation which the agency is a party to concerning the subject matter of the proposed rule? ************************************************************************* Does the proposed rule have an economic impact? If the proposed rule has an economic impact, the proposed rule is required to be accompanied by a fiscal note prepared in accordance with subsection (f) of Section 41-22-23, Code of Alabama 1975. ************************************************************************* Certification of Authorized Official I certify that the attached proposed rule has been proposed in full compliance with the requirements of Chapter 22, Title 41, Code of Alabama 1975, and that it conforms to all applicable filing requirements of the Administrative Procedure Division of the Legislative Services Agency. Signature of certifying officer Date A-2 (DATE FILED) (STAMP)

APA-2 (Agency Name) (Agency Division, if applicable) NOTICE OF INTENDED ACTION AGENCY NAME: RULE NO. & TITLE: INTENDED ACTION: SUBSTANCE OF PROPOSED ACTION: TIME, PLACE, MANNER OF PRESENTING VIEWS: FINAL DATE FOR COMMENT AND COMPLETION OF NOTICE: CONTACT PERSON AT AGENCY: (Signature of officer authorized to promulgate and adopt rules or his or her deputy) A-3

APA-3 Revised 1/2018 CERTIFICATION OF ADMINISTRATIVE RULES FILED WITH THE LEGISLATIVE SERVICES AGENCY OTHNI LATHRAM, DIRECTOR (Pursuant to Code of Alabama 1975, 41-22-6, as amended). I certify that the attached is/are correct copy/copies of rule/s as promulgated and adopted on the day of, 20, and filed with the agency secretary on the day of _, 20. AGENCY NAME: Amendment New Repeal (Mark appropriate space) Rule No. (If amended rule, give specific paragraph, subparagraphs, etc., being amended) Rule Title:_ ACTION TAKEN: State whether the rule was adopted with or without changes from the proposal due to written or oral comments: NOTICE OF INTENDED ACTION PUBLISHED IN VOLUME, ISSUE NO., AAM, DATED, 20. Statutory Rulemaking Authority: (Date Filed) (For LRS Use Only) Certifying Officer or his or her Deputy (NOTE: In accordance with 41-22-6(b), as amended, a proposed rule is required to be certified within 90 days after completion of the notice. A-4

APA-4 Revised 1/2018 CERTIFICATION OF EMERGENCY RULES FILED WITH LEGISLATIVE SERVICES AGENCY OTHNI LATHRAM, DIRECTOR Pursuant to Code of Alabama 1975, 41-22-5(b) and 41-22-6(c)(2)a. and b. I certify that the attached emergency (amendment, new rule, new chapter, repeal or adoption by reference) is a correct copy as promulgated and adopted on the day of, 20. AGENCY NAME: RULE NO. AND TITLE: EFFECTIVE DATE OF RULE: EXPIRATION DATE (If less than 120 days): NATURE OF EMERGENCY: STATUTORY AUTHORITY: SUBJECT OF RULE TO BE ADOPTED ON PERMANENT BASIS YES NO NAME, ADDRESS, AND TELEPHONE NUMBER OF PERSON TO CONTACT FOR COPY OF RULE: Signature of officer authorized to promulgate and adopt rules and regulations or his or her deputy FILING DATE (For APA Use Only) A-5

APA-5 CERTIFICATION OF PEREMPTORY RULES FILED WITH THE LEGISLATIVE SERVICES AGENCY The (Name of Agency, Commission, Board, or Department) certifies that the attached hereto is a true and correct copy of: Rule No. and Title: which was duly (adopted, amended, or repealed) by peremptory rulemaking on the day of, 20. Statutory Authority: Dated this day of, 20. Signature of Certifying Officer A-6

APA-6 ECONOMIC IMPACT STATEMENT FOR APA RULE (Section 41-22-23(f)) Control No. Department or Agency Rule No: Rule Title: New Amend Repeal Adopt by Reference This rule has no economic impact. This rule has an economic impact, as explained below: 1. NEED/EXPECTED BENEFIT OF RULE: 2. COSTS/BENEFITS OF RULE AND WHY RULE IS THE MOST EFFECTIVE, EFFICIENT, AND FEASIBLE MEANS FOR ALLOCATING RESOURCES AND ACHIEVING THE STATED PURPOSE: 3. EFFECT OF THIS RULE ON COMPETITION: 4. EFFECT OF THIS RULE ON COST-OF-LIVING AND DOING BUSINESS IN THE GEOGRAPHICAL AREA WHERE THE RULE IS TO BE IMPLEMENTED: A-7

5. EFFECT OF THIS RULE ON EMPLOYMENT IN THE GEOGRAPHICAL AREA WHERE THE RULE IS TO BE IMPLEMENTED: 6. SOURCE OF REVENUE TO BE USED FOR IMPLEMENTING AND ENFORCING THIS RULE: 7. THE SHORT-TERM/LONG-TERM ECONOMIC IMPACT OF THIS RULE ON AFFECTED PERSONS, INCLUDING ANALYSIS OF PERSONS WHO WILL BEAR THE COSTS AND THOSE WHO WILL BENEFIT FROM THE RULE: 8. UNCERTAINTIES ASSOCIATED WITH THE ESTIMATED BENEFITS AND BURDENS OF THE RULE, INCLUDING QUALITATIVE/QUANTITATIVE BENEFITS AND BURDEN COMPARISON: 9. THE EFFECT OF THIS RULE ON THE ENVIRONMENT AND PUBLIC HEALTH: 10. DETRIMENTAL EFFECT ON THE ENVIRONMENT AND PUBLIC HEALTH IF THE RULE IS NOT IMPLEMENTED: **Additional pages may be used if needed. A-8

APA-7 TRANSMITTAL SHEET FOR BUSINESS ECONOMIC IMPACT STATEMENT (Section 41-22-5.1) Control No. Department/Agency Rule No._ Rule Title: New Amend Repeal Adopt by Reference Attached is a Business Economic Impact Statement filed pursuant to Section 41-22-5.1, Code of Alabama 1975. Signature of Filing Officer Date (DATE FILED) (STAMP) A-9