MANNS RFH 24A-119-INS.pdf

24A-119-INS · Department of Insurance and Financial Institutions - Insurance · 2024-12-06

CLEAR SUBMIT

OFFICE OF ADMINISTRATIVE HEARINGS REQUEST FOR HEARING

DATE: 12/6/2024 CAPTION (REQUIRED) TO: [email redacted] In the Matter of: FROM: Susan Hack EMAIL (REQUIRED): [email redacted] Adrian Manns DOCKET NO.: 24A-119-INS

Petitioner

Hearing Type _____________________________________________________________________ Appealable agency action (appeal from agency action) Date of Request _______________ 12/3/2024 *Purposed Date/Time _____________________________ 01/31/2025 1:00 pm * The date MUST be within 60 days of an appealable agency action hearing request, or within 60 days of this contested case hearing request UNLESS at least one of the following factors are true: ☐ All parties agree to a date beyond 60 days ☐ OAH to set case for intervening prehearing within 60 days BY CHECKING A BOX, THE AGENCY IS CERTIFYING TO THE OAH THAT THE FACTORS ARE TRUE.

(REQUIRED) NAME AND ADDRESS Petitioner Counsel * c/o Andrew Breavington Mitchell Stein Carey Chapman Raya Gardner 2600 N. Central Ave., #1000 2005 N. Central Ave. Phoenix, AZ 85004 Phoenix, AZ 85004 Phone: (702) 497-2969 Phone: (602) 542-8956 Phone: Email: [email redacted] Email: [email redacted] Email:

OAH USE ONLY: Assigned ALJ: Velva Moses-Thompson

ASSIGNED AS HEARING PREHEARING (if applicable) DATE: 1/31/25 DATE: TIME: 1pm-5pm TIME: LOCATION: LOCATION:

SPECIAL ADVISEMENT FROM OAH FROM AGENCY