[Name]

[Address]

 

[Date]

 

N.C. Rules Review Commission

1711 New Hope Church Rd.

Raleigh, NC  27609

 

Re: 12  NCAC 09F .0103-.0105

 

Members of the Commission:

 

I request that the above rule(s) be reviewed in the upcoming legislative session as set out in N.C.G.S. 150B-21.3. I further request that the rule(s) be subject to a delayed effective date as set out in that same provision.

 

Thank you for your consideration.

 

[Name]

 

[Signature]