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Response to Proposed Adverse Action
Written response to a federal agency's notice of proposed adverse action such as license revocation, permit denial, or civil penalty.
PDF TemplateUse the instructions below to complete this form
Instructions
Respond within the deadline specified in the agency's notice, typically 15 to 30 days. Address each factual finding and legal conclusion in the agency's notice. Present mitigating factors and corrective actions taken. Include supporting documentation and declarations. Request a hearing or informal conference if available. Failure to respond may result in a default decision.