Section 23-4-3 - Format and certification of petition(a) Any interested person may petition for an administrative relief hearing with the department either in person or by mail. The petition shall be legibly written or typed to include the following:(1) The first page of every petition shall set forth the name, full address, and phone number of the petitioner;(2) The petition shall set forth the text of the:(A) Statement of relief requested and the reasons therefore; and(B) Identification of the specific statutory provisions, department order, or rule in question; and(3) The last page of every petition shall be signed in ink by the petitioner or the petitioner's authorized representative. This signature shall constitute certification that the person signing the petition has read the petition and that to the best of the person's knowledge, the petition is true or has good grounds to support it.(b) Unless otherwise provided, all petitions shall be assigned a document number and filed with the department.(c) Upon filing of the petition, the department within twenty days shall determine whether or not to proceed with a hearing.(d) If the department decides not to proceed, it shall provide the petitioner with a written notice of the determination not to proceed and the reasons therefore. The petitioner may request the department to reconsider the determination, or may pursue judicial remedies.(e) If the department decides to proceed, it shall set the matter for further proceedings before a department hearing pursuant to this chapter.[Eff APR 15 2000] (Auth: HRS § 353C-2) (Imp: HRS § 91-9)