Free Certification Page for Emergency and Regular Rules - Wyoming

Certification Page Regular and Emergency Rules

1. General Information
a. Agency/Board Name See attached list for references b. Agency/Board Address e. Name of Contact Person g. Contact Email Address i. Program(s) See attached list for references c. Agency/Board City f. Contact Telephone Number h. Adoption Date: d. Agency/Board Zip Code

2. Rule Type and Information
a. These rules are: b. Choose all that apply: Emergency Rules (After completing all of Section 2, proceed to Section 5 below) New Rules* Amended Rules Repealed Rules Regular Rules

* "New" rules means the first set of regular rules to be promulgated by the Agency after the Legislature adopted a new statutory provision or significantly amended an existing statute.

If "New," provide the Enrolled Act number and year enacted: c. Provide the Chapter Number, and Short Title of Each Chapter being Created/Amended/Repealed (if more than 5 chapters are being created/amended/repealed, please
use the Additional Rule Information form and attach it to this certification)

Chapter Number: Chapter Number: Chapter Number: Chapter Number: Chapter Number: d.

Short Title: Short Title: Short Title: Short Title: Short Title:

The Statement of Reasons is attached to this certification.

e. If applicable, describe the emergency which requires promulgation of these rules without providing notice or an opportunity for a public hearing:

3. State Government Notice of Intended Rulemaking
a. Date on which the Notice of Intent containing all of the information required by W.S. 16-3-103(a) was filed with the Secretary of State: b. Date on which the Notice of Intent and proposed rules in strike and underscore format were provided to the Legislative Service Office: c. Date on which the Notice of Intent and proposed rules in strike and underscore format were provided to the Attorney General:




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4. Public Notice of Intended Rulemaking
a. Notice was mailed 45 days in advance to all persons who made a timely request for advance notice. b. A public hearing was held on the proposed rules. If "Yes:" Date: Time: Yes No City: Location: Yes No N/A

5. Final Filing of Rules
a. Date on which the Certification Page with original signatures and final rules were sent to the Attorney General's Office for the Governor's signature: b. Date on which final rules were sent to the Legislative Service Office: c. Date on which a PDF of the final rules was electronically sent to the Secretary of State:

6. Agency/Board Certification
The undersigned certifies that the foregoing information is correct.
Signature of Authorized Individual Printed Name of Signatory Signatory Title Date of Signature

7. Governor's Certification
I have reviewed these rules and determined that they: 1. 2. 3. Are within the scope of the statutory authority delegated to the adopting agency; Appear to be within the scope of the legislative purpose of the statutory authority; and, if emergency rules, Are necessary and that I concur in the finding that they are an emergency.

Therefore, I approve the same.
Governor's Signature Date of Signature


Distribution List: Attorney General 1. Statement of Reasons; 2. Original Certification Page; 3. Summary of Comments (regular rules); 4. Hard copy of rules: clean and strike/underscore; and 5. Memo to Governor documenting emergency (emergency rules).

LSO 1. Statement of Reasons; 2. Copy of Certification Page; 3. Summary of Comments (regular rules); 4. Hard copy of rules: clean and strike/underscore; 5. Electronic copy of rules: clean and strike/underscore; and 6. Memo to Governor documenting emergency (emergency rules).

SOS 1. PDF of clean copy of rules; and 2. Hard copy of Certification Page as delivered by the AG.


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