(A)To initiate an administrative disqualification hearing, the local agency shall complete and submit a "Referral for Administrative Disqualification Hearing,"JFS 04060 "Referral for Administrative Disqualification Hearing" (rev. 5/2001), to the bureau of state hearings, ODJFSstate hearings.

(B)The JFS 04060 shall be accompanied by all information and documentation relied upon by the local agency in reaching its conclusion that intentional program violation has been committed.

(C)If more than one assistance group member is suspected of committing an intentional program violation, a separate JFS 04060 shall be completed for each.

(D)If an individual is suspected of intentional program violation in more than one program, a separate JFS 04060 shall be completed for each.