Notice Required. The Department shall provide notice of its action whenever, by law or regulation, that action gives rise to the right to request a contested-case hearing. Contents. The notice shall state: The factual basis for the action; The statutory or regulatory provision under which the action is taken; The sanction proposed or potential penalty, if any; The right to request a hearing on the action; What a person must do to receive a hearing and the time periods within which the person must act; and The consequences of a failure to timely request a hearing or to appear for a scheduled hearing, including a statement that unless a hearing is requested the Department action becomes final and binding on all parties. Accompanying Forms. If the Department requires that the request for a hearing be filed on a specific form, a copy of that form shall accompany the notice.