I hereby certify that I have this day served the
foregoing [name of document] on the following persons at the following
addresses and facsimile numbers (if also served by facsimile) by [specify
method of service]:
[list persons, addresses, facsimile numbers]
Dated this ___ day of ___, 19__.
[signature], for [party]
(b) Method of service. Except as
otherwise agreed by the parties and the hearing officer, the method of
service is the same as set forth in §16.13(b) for filing documents.
(c) Where service shall be made.
Service shall be made to the persons identified in accordance with
§16.13(f). If no such person has been designated, service shall be made on
(d) Presumption of service. There
shall be a presumption of lawful service --
(1) When acknowledgment of receipt is by
a person who customarily or in the ordinary course of business receives
mail at the address of the party or of the person designated under
(2) When a properly addressed envelope,
sent to the most current address submitted under §16.13(f), has been
returned as undeliverable, unclaimed, or refused.
(e) Date of service. The date of
service shall be determined in the same manner as the filing date under