Section 16.03.09.906 - LIENS AND ESTATE RECOVERY: REQUEST FOR NOTICE01.Request for Notice - Notice - Hearing. The Department must notify the participant or their authorized representative, in writing, of its intention to record a request for notice, and that they have the right to a fair hearing in accordance with Subsection 900.02 of these rules. The notice must inform the participant of the following information, at a minimum: a. The Department's determination that they are the record titleholder or purchaser under a land sale contract of real property subject to a request for notice;b. They or their authorized representative may request a fair hearing prior to the Department's recording a request for notice. The notice must include the time limits and instructions for requesting a fair hearing; andc. If they or their authorized representative do not request a fair hearing within the time limits specified, a request for notice applying to their real property, including their home, may be recorded.02.Request for Notice - Forms - Content. The notices must include, at a minimum, the following information:a. The name of the public assistance recipient and the spouse of such public assistance recipient, if any;b. The Medicaid number for the public assistance recipient and spouse, if any;c. The legal description of the real property affected or to be affected;d. The mailing address at which the Department is to receive notice as provided in Section 902 of these rules;e. If the document is a Notice of Transfer or Encumbrance, the name and address of the transferee or lien holder; andf. A fully executed acknowledgment as required for recording under Section 55-805, Idaho Code.03.Webpages for Forms. The forms may be found at:Idaho Admin. Code r. 16.03.09.906