An applicant or eligible individual or an individual's representative may request the Division to amend or correct any records in the custody of the Division which contain inaccurate or incomplete information about the individual. A request to amend or correct records shall be in writing, signed by the applicant or eligible individual or the individual's representative, and: Identify the records which are the subject of the request; Describe the requested change precisely; and State the reasons for the change. Within 30 days after receiving a request to amend or correct records, the Division shall: Make or refuse to make the requested change; Give the applicant or eligible individual or the individual's representative written notice of the action taken; and If the requested change is refused, state the reasons for the refusal. The Division may refuse to amend or correct records because, among other reasons, the records were not created by the Division. If the Division refuses to make the requested change and the applicant or eligible individual or the individual's representative disagrees with the Division's action, the applicant or eligible individual or the individual's representative may file with the Division a concise statement that, in five pages or less, states the reasons for the requested change and for disagreement with the Division's action. The statement of disagreement shall be attached to the disputed record and the Division shall provide a copy of the statement whenever the disputed record is disclosed to another person.