Department of Public Health and Environment
Health Facilities and Emergency Medical Services Division
6 CCR 1015-3
STATE BOARD OF HEALTH
Rules Pertaining to Emergency Medical Services

Index to Sections
1.	Purpose and Authority for Rules
2.	Definitions
3.	State Recognition of Emergency Medical Services (EMS) Education Programs
4.	Disciplinary Sanctions and Appeal Procedures for EMS Education Program Recognition
5.	Emergency Medical Technician Certification
6.	Disciplinary Sanctions and Appeal Procedures for Emergency Medical Technician Certification
7.	Placeholder Section – No Content
8.	Placeholder Section – No Content
9.	Placeholder Section – No Content
10.	Placeholder Section – No Content
11.	Data And Information Collection And Record Keeping
12.	Licensure Of Ambulance Services
13.	Air Ambulance Licensing
Section 1 –	Purpose and Authority for Rules 
1.1	These rules address the recognition process for emergency medical services (EMS) education programs; the certification process for all levels of emergency medical technician; the procedures for denial, revocation, suspension, limitation, or modification of an emergency medical technician certificate; the collection of essential data related to the performance and needs of the emergency medical care system in Colorado; and the licensure of ground and air ambulance services.
1.2	The authority for the promulgation of these rules is set forth in Section 25-3.5-101 et seq., C.R.S. 
Section 2 –	Definitions
2.1	All definitions that appear in Section 25-3.5-103, C.R.S., shall apply to these rules.
2.2	"Advanced Cardiac Life Support (ACLS)” – A course of instruction designed to prepare students in the practice of advanced emergency cardiac care.
2.3	"Board of Medical Examiners (BME) Rules" – Rules adopted by the Board of Medical Examiners that establish the responsibilities of medical directors and all authorized acts of emergency medical technicians, located at 3 CCR 713-6, Rule 500.
2.4	"Continuing Education" – Education required for the renewal of a state or national emergency medical technician certificate.
2.5	"Council" – State Emergency Medical and Trauma Services Advisory Council.
2.6	"Department" – Colorado Department of Public Health and Environment.
2.7	"Emergency Medical Technician-Basic (EMT-Basic)" – An individual who has a current and valid EMT-Basic certificate issued by the Department and is authorized to provide basic emergency medical care in accordance with BME rules.   
2.8	“Emergency Medical Technician-Basic with IV Authorization” – An individual who has a current and valid EMT-Basic certificate issued by the Department and has met the conditions defined in Section 4.4 of the BME rules. 
2.9	"Emergency Medical Technician-Intermediate (EMT-Intermediate)" – An individual who has a current and valid EMT-Intermediate certificate issued by the Department and is authorized to provide limited acts of advanced emergency medical care in accordance with BME rules.
2.10	"Emergency Medical Technician-Paramedic (EMT-Paramedic)" – An individual who has a current and valid EMT-Paramedic certificate issued by the Department and is authorized to provide limited acts of advanced emergency medical care in accordance with BME rules.
2.11	"Emergency Medical Technician-Paramedic with Critical Care (CC) Authorization" – An individual who has a current and valid EMT-Paramedic certificate issued by the Department and whose medical director has successfully applied for a waiver pursuant to BME rules. 
2.12	“EMS Education Center" – A state-recognized provider of initial courses that qualify graduates for state or national emergency medical technician certification or for expanded scope of practice.
2.13	"EMS Education Group" – A state-recognized provider of EMS continuing education topics and/or refresher courses that qualify graduates for renewal of a state or national emergency medical technician certification.
2.14	"EMS Education Program" – A state-recognized provider of EMS education including a recognized education group, center or hospital.
2.15	"EMS Education Program Standards" – Department approved minimum standards for EMS education that shall be met by state-recognized EMS education programs.
2.16	"Emergency Medical Technician Refresher Course" – A course of study based on the Department approved curriculum that meets the education requirements for renewal of a state or national emergency medical technician certificate.
2.17	"Graduate EMT-Intermediate" – An individual who has successfully completed a Department recognized EMT-Intermediate education course but has not yet successfully completed the certification requirements set forth in these rules.
2.18	"Graduate EMT-Paramedic" – An individual who has successfully completed a Department recognized EMT-Paramedic education course but has not yet successfully completed the certification requirements set forth in these rules.
2.19	“Initial Course" – A course of study based on a Department approved curriculum that prepares a person for first-time state or national EMT certification, or for expanded scope of practice as defined by BME rules.  
2.20	“Initial EMT Certification” – First time application for and issuance by the Department of a certificate at any EMT level.  This shall include applications received from persons holding any level of certification issued by the Department who are applying for either a higher or lower level certificate.  
2.21	"Medical Director" – A physician holding an active Colorado medical license who authorizes and directs, through established protocols and standing orders, the performance of students-in-training enrolled in state-recognized EMS education programs, graduate EMT-Intermediates or EMT-Paramedics, or state-certified EMTs who perform medical acts, and who is specifically identified as being responsible to assure the performance competency of those authorized individuals as described in the physician's medical continuous quality improvement program. 
2.22	"National Registry of Emergency Medical Technicians (NREMT)" – A national EMT certification organization.
2.23	"Practical Skills Examination" – A skills test conducted at the end of an initial course and prior to application for national or state EMT certification.
Section 3 –	State Recognition of Emergency Medical Services (EMS) Education Programs 
3.1	Specialized Education Curricula
3.1.1	The specialized education curricula established by the Department include but are not limited to the following:
A)	EMT-Basic initial and refresher courses
B)	EMT-Basic intravenous therapy (IV) course
C)	EMT-Intermediate initial and refresher courses
D)	EMT-Paramedic initial and refresher courses
E)	Critical Care Transport-Paramedic (CCT-P) course
F)	EMS instructor courses
3.2	Application for State Recognition as an EMS Education Program 
3.2.1	The Department may grant recognition for any of the following types of EMS education programs:
A)	EMT-Basic education center
B)	EMT-Basic education group
C)	EMT-Basic IV education group
D)	EMT-Intermediate education center
E)	EMT-Intermediate education group
F)	EMT-Paramedic education center
G)	EMT-Paramedic education group
H)	CCT-Paramedic education center
3.2.2	Any education provider seeking to conduct EMS education to prepare graduates for national or state EMT certification shall apply for state recognition as described below.
3.2.3	Initial EMS education program recognition shall be valid for a period of three (3) years from the date of the Department's written notice of recognition.
3.2.4	EMS Education programs shall utilize personnel who meet the qualification requirements in state EMS education program standards.
3.2.5	State-recognized EMS education programs are required to present current Colorado emergency medical technician scope of practice content, as established in BME rules, within every emergency medical technician initial and refresher course. 
3.2.6	EMS education centers that provide initial education at the EMT-Paramedic level shall obtain accreditation from the Commission on Accreditation of Allied Health Education Programs (CAAHEP).  The EMS education center shall provide the Department with verification that an application for accreditation has been submitted to CAAHEP prior to the EMS education center initiating a second course.  
3.2.7	EMS education centers that provide initial education at the EMT-Paramedic level shall maintain accreditation from CAAHEP.  Loss of CAAHEP accreditation by an EMS education center shall result in proceedings for the revocation, suspension, limitation or modification of state recognition as an EMS education program.
3.2.8	Applicants for state EMS education program recognition shall submit the following documentation to the Department:
A)	a completed application form provided by the Department;
B)	a personnel roster, to include a current resume for the program director and medical director; 
C)	a description of the facilities to be used for course didactic, lab, and clinical instruction and a listing of all education aids and medical equipment available to the program; 
D)	program policies and procedures, which at a minimum shall address: 
1)	admission requirements;
2)	attendance requirements;
3)	course schedule that  lists as separate elements the didactic, lab, clinical, skills and written testing criteria of the education program;
4)	discipline/counseling of students;
			5)	grievance procedures;
6)	successful course completion requirements;
7)	testing policies;
8)	tuition policy statement;
			9)	infection control plan;
10)	description of insurance coverage for students, both personal liability and worker's compensation;
11)	practical skills testing policies and procedures and
12)	a continuous quality improvement plan.
3.2.9	After receipt of the application and other documentation required by these rules, the Department shall notify the applicant of recognition or denial as an EMS education program, or shall specify a site review or modification of the materials submitted by the applicant. 
3.2.10	If the Department requires a site visit, the applicant shall introduce staff, faculty, and medical director, and show all documentation, equipment, supplies and facilities. 
3.2.11	Applications determined to be incomplete shall be returned to the applicant. 
3.2.12	The Department shall provide written notice of EMS education program recognition or denial of recognition to the applicant.  The Department's determination shall include, but not be limited to, consideration of the following factors:
A)	fulfillment of all application requirements;
B)	demonstration of ability to conduct EMS education in compliance with the Department's EMS education program standards;
C)	demonstration of necessary professional staff, equipment and supplies to provide the education.
3.2.13	Denial of recognition shall be in accordance with Section 4 of these rules.
3.3	EMS Education Program Recognition Renewal
3.3.1	Renewal of recognition shall be valid for a period of five (5) years from the date of the Department's notice of recognition renewal and shall be based upon satisfactory past performance and submission of an updated application form.
3.3.2	Additional information as specified in Section 3.2.8 may be required by the Department.  The Department may require a site review in conjunction with the renewal application.
Section 4 –	Disciplinary Sanctions and Appeal Procedures for EMS Education Program Recognition 
4.1	The Department, in accordance with the State Administrative Procedure Act, Section 24-4-101, et seq., C.R.S., may initiate proceedings to deny, revoke, suspend, limit or modify EMS education program recognition for, but not limited to, the following reasons:
4.1.1	the applicant fails to meet the application requirements specified in Section 3 of these rules.
4.1.2	the applicant does not possess the necessary qualifications to conduct an EMS education program in compliance with EMS education program standards. 
4.1.3 	the applicant fails to demonstrate access to adequate clinical or internship services as required in EMS education program standards. 
4.1.4	fraud, misrepresentation, or deception in applying for or securing EMS education program recognition. 
4.1.5	failure to conduct the  EMS education program in compliance with EMS education program standards. 
4.1.6	failure to notify the Department of changes in the program director or medical director. 
4.1.7	providing false information to the Department with regard to successful completion of education or practical skill examination. 
4.1.8	failure to comply with the provisions in Section 3 of these rules.  
4.2	If the Department initiates proceedings to deny, revoke, suspend, limit or modify an EMS education program recognition, the Department shall provide notice of the action to the EMS education program (or program applicant) and shall inform the program (or program applicant) of its right to appeal and the procedure for appealing.  Appeals of Departmental actions shall be conducted in accordance with the State Administrative Procedure Act, Section 24-4-101, et seq., C.R.S.
Section 5 –	Emergency Medical Technician Certification
5.1	General Requirements
5.1.1	The Department may issue the following EMT certifications:
A)	EMT-Basic
B)	EMT-Intermediate
C)	EMT-Paramedic
5.1.2	No person shall hold himself or herself out as an EMT or offer, whether or not for compensation, any services included in these rules or authorized acts permitted by the Board of Medical Examiners rules (BME rules), unless that person is currently state-certified as an EMT under these regulations, or is working under the provisions of the BME rules pertaining to Graduate EMT-Intermediate or Graduate EMT-Paramedic, or otherwise authorized by law. 
5.1.3	Certificates shall be effective for a period of three (3) years after the date of issuance.  The date of issuance shall be determined by the date the Department approves the application. 
5.1.4	Upon the expiration date of a Department-issued EMT certificate, the person named in the certificate is no longer a currently certified EMT and is not authorized to act as a state-certified EMT, except under the circumstances specified below in Section 5.1.5.
5.1.5	Pursuant to Section 24-4-104(7), C.R.S., of the State Administrative Procedure Act, if an EMT has made timely and sufficient application for certification renewal and the Department fails to take action on the application prior to the certificate’s expiration date, the EMT’s existing certification shall not expire until the Department acts upon the application.  The Department, in its sole discretion, shall determine whether the application was timely and sufficient.  
5.1.6	Multiple certifications within the levels of EMT shall not be permitted.  Certification at a higher level indicates that the holder of the certificate may also provide medical care allowed under a lower level of certification, provided the lower level certification has not been revoked, modified, suspended, or expired.
5.1.7	If a currently certified EMT seeks a higher or lower level of certification, he or she shall satisfy the requirements for initial certification at the new EMT level, except as described below.  
A)	If the higher level EMT certification is valid and in good standing, the applicant for a lower level certificate shall not be required to submit current and valid certification from the NREMT at the lower EMT level.
5.2	Initial EMT Certification 
5.2.1	Applicants for initial EMT certification shall: 
A)	be no less than 18 years of age at the time of application,
B)	submit to the Department a completed application form provided by the Department, and
C)	submit to the Department with a completed application form all of the following:
1)	evidence of current and valid certification from the NREMT at or above the EMT level being applied for; 
2)	criminal history record check;
a.	The applicant is not required to submit to a fingerprint-based criminal history record check if the applicant has lived in Colorado for more than three (3) years at the time of application and the applicant has submitted to a fingerprint-based criminal history record check through the Colorado Bureau of Investigations (CBI) for a previous Colorado EMT certification application.
b.	If the applicant has lived in Colorado for more than three (3) years at the time of application and has not submitted to a fingerprint-based criminal history record check as described in subparagraph a above, the applicant shall submit to a fingerprint-based criminal history record check generated by the CBI.
c.	If the applicant has lived in Colorado for three (3) years or less at the time of application, the applicant shall submit to a fingerprint-based criminal history record check generated by the Federal Bureau of Investigations (FBI) through the CBI. 
d.	If, in accordance with subparagraphs b or c above, an applicant has twice submitted to a fingerprint-based criminal history record check and the FBI or CBI has been unable to classify the fingerprints, then the Department may accept a CBI and/or FBI name-based criminal history report generated through the CBI.
3)	proof of current and valid professional level basic Cardiac Life Support (CPR) course completion from a national or local organization approved by the Department.
4)	In addition to paragraph 3 above, EMT-Intermediate and EMT-Paramedic applicants shall submit proof of current and valid Advanced Cardiac Life Support (ACLS) course completion from a national or local organization approved by the Department.
5.3	Renewal of EMT Certification
5.3.1	General Requirements
A)	Any person who holds an expired EMT certificate is not a state-certified EMT and shall not hold himself or herself out as such or provide medical care in the capacity of a state-certified EMT.   
B)	Persons who have permitted their certification to expire for a period not to exceed six (6) months from the expiration date may renew their certification by complying with the provisions of Section 5.3 of these rules (Renewal of EMT Certification).  
C)	Persons who have permitted their certification to expire for a period of greater than six (6) months from the expiration date shall not be eligible for renewal and shall comply with the provisions of Section 5.2 of these rules (Initial EMT Certification). 
D)	All certificates renewed by the Department shall be valid for three (3) years from the date of issuance.
E)	Date of issuance is the date of application approval by the Department, except, for applicants successfully completing the renewal of certification requirements during the last six (6) months prior to their certificate expiration date, the date of issuance shall be the expiration date of the current valid certificate being renewed.
F)	Pursuant to Section 24-4-104(7), C.R.S., of the State Administrative Procedure Act, if an EMT has made timely and sufficient application for certification renewal and the Department fails to take action on the application prior to the certificate’s expiration date, the EMT’s existing certification shall not expire until the Department acts upon the application.  The Department, in its sole discretion, shall determine whether the application was timely and sufficient.  
5.3.2	Application for Renewal of EMT Certification 
An applicant for renewal of an EMT certification shall:
A)	submit to the Department a completed application form provided by the Department. 
B)	submit to the Department with a completed application form all of the following:
			1)	criminal history record check. 
a.	The applicant is not required to submit to a fingerprint-based criminal history record check if the applicant has lived in Colorado for more than three (3) years at the time of application and the applicant has submitted to a fingerprint-based criminal history record check through the Colorado Bureau of Investigations (CBI) for a previous Colorado EMT certification application.  
b.	If the applicant has lived in Colorado for more than three (3) years at the time of application and has not submitted to a fingerprint-based criminal history record check as described in subparagraph a above, the applicant shall submit to a fingerprint-based criminal history record check generated by the CBI.  
c.	If the applicant has lived in Colorado for three (3) years or less at the time of application, the applicant shall submit to a fingerprint-based criminal history record check generated by the Federal Bureau of Investigations (FBI) through the CBI.   
d.	If, in accordance with subparagraphs b or c above, an applicant has twice submitted to a fingerprint-based criminal history record check and the FBI or CBI has been unable to classify the fingerprints, then the Department may accept a CBI and/or FBI name-based criminal history report generated through the CBI.
2)	proof of current and valid professional level Basic Cardiac Life Support (CPR) course completion from a national or local organization approved by the Department.
3)	In addition to paragraph 2 above, EMT-Intermediate and EMT-Paramedic applicants shall submit proof of current and valid Advanced Cardiac Life Support (ACLS) course completion from a national or local organization approved by the Department.
		C)	complete one of the following:
1)	current and valid certification with the NREMT at or above the EMT level being renewed.
2)	appropriate level refresher course conducted or approved through signature of a Department-recognized EMS education group representative.
3)	the minimum number of education hours completed or approved through signature of a Department-recognized EMS education group representative.
5.3.3	Education Requirements to Renew an EMT Certificate Without the Use of a Current and Valid NREMT Certification
A)	The Department policies in effect upon adoption of these rules defining the minimum education requirements for each EMT level shall remain in effect until July 1, 2008.
B)	Beginning July 1, 2008, the following education requirements shall be in effect for the renewal of a Department-issued EMT certificate without the use of a current and valid NREMT certification.
1)	Education required for the renewal of an EMT-Basic certificate shall be no less than thirty-six (36) hours and shall be completed through one of the following:
a.	a refresher course at the EMT-Basic level conducted or approved by a Department-recognized EMS education group plus additional continuing education topics such that the total education hours is no less than thirty-six (36) hours.  
b.	continuing education topics consisting of no less than thirty-six (36) hours of education that is conducted or approved through a Department-recognized EMS education group consisting of the following minimum content requirements on the EMT-Basic level:
i)	one (1) hour of preparatory content that may include scene safety, quality improvement, health and safety of the EMT, or medical legal concepts.
ii)	three (3) hours of OB and pediatric patient assessment and treatment.
iii)	six (6) hours of trauma patient assessment and treatment.
iv)	five (5) hours of patient assessment.
v)	three (3) hours of airway assessment and management.
vi)	six (6) hours of medical/behavioral emergency patient assessment and management.
vii)	twelve (12) hours of elective content that is relevant to the practice of emergency medicine.
2)	Education required for the renewal of an EMT-Intermediate or EMT-Paramedic certificate shall be no less than fifty (50) hours and shall be completed through one of the following methods:
a.	a refresher course at the EMT's level conducted or approved by a Department-recognized EMS education group plus additional continuing education topics such that the total education hours is no less than fifty (50) hours.  
b.	continuing education topics consisting of no less than fifty (50) hours of education that is conducted or approved through a Department-recognized EMS education group consisting of the following minimum content requirements at the EMT’s level:  
No less than twenty-five (25) hours as described below:  
i)	eight (8) hours of airway, breathing, and cardiology assessment and treatment.
ii)	four (4) hours of medical patient assessment and treatment.
iii)	three (3) hours of trauma patient assessment and treatment.
iv)	eight (8) hours of OB and pediatric patient assessment and treatment.
v)	two (2) hours of operational tasks.
and no less than twenty-five (25) hours of elective content that is relevant to the practice of emergency medicine. 
Section 6 –	Disciplinary Sanctions and Appeal Procedures for EMT Certification 
6.1	The Department may deny, refuse to renew, or may revoke, suspend, limit, or modify an EMT certificate or may impose probation on a certificate holder for good cause, in accordance with the State Administrative Procedure Act, Section 24-4-101, et seq., C.R.S.
6.2	Good cause for disciplinary sanctions listed in this section shall include, but not be limited to:
6.2.1	failure to meet the requirements of these rules pertaining to issuance and renewal of EMT certification.
6.2.2	fraud, misrepresentation, or deception in applying for or securing EMT certification.
6.2.3	aiding and abetting in the procurement of EMT certification for any person not eligible for certification.
6.2.4	utilizing NREMT certification that has been illegally obtained, suspended or revoked, to obtain a state EMT certification.
6.2.5	unlawful use, possessing, dispensing, administering, or distributing controlled substances.
6.2.6	driving an emergency vehicle in a reckless manner, or while under the influence of alcohol or other performance altering substances.
6.2.7	responding to or providing patient care while under the influence of alcohol or other performance altering substances.
6.2.8	demonstrating a pattern of alcohol or other substance abuse.
6.2.9	materially altering any Department EMT certificate, or using and/or possessing any such altered EMT certificate.
6.2.10	having an EMT certificate or license suspended or revoked in another state or country.
6.2.11	unlawfully discriminating in the provision of services.
6.2.12	representing qualifications at any level other than the person's current EMT certification level.
6.2.13	representing oneself to others as an EMT or providing medical care without possessing a current and valid EMT certificate issued by the Department.  
6.2.14	failing to follow accepted standards of care in the management of a patient, or in response to a medical emergency.
6.2.15	failing to administer medications or treatment in a responsible manner in accordance with the medical director's orders or protocols.
6.2.16	failing to maintain confidentiality of patient information.
6.2.17	failing to provide the Department with the current place of residence or failing to promptly notify the Department of a change in current place of residence or change of name.  
6.2.18	a pattern of behavior that demonstrates routine response to medical emergencies without being under the policies and procedures of a designated emergency medical response agency and/or providing patient care without medical direction when required.  
6.2.19	performing medical acts not authorized by the BME rules and in the absence of any other lawful authorization to perform such medical acts.
6.2.20	failing to provide care or discontinuing care when a duty to provide care has been established.
6.2.21	appropriating or possessing without authorization medications, supplies, equipment, or personal items of a patient or employer.
6.2.22	falsifying entries or failing to make essential entries in a patient care report, EMS education document, or medical record.
6.2.23	falsifying or failing to comply with any collection or reporting required by the state.
6.2.24	failing to comply with the terms of any agreement or stipulation regarding EMT certification entered into with the Department.
6.2.25	violating any state or federal statute or regulation, the violation of which would jeopardize the health or safety of a patient or the public.
6.2.26	unprofessional conduct at the scene of an emergency that hinders, delays, eliminates, or deters the provision of medical care to the patient or endangers the safety of the public.
6.2.27	failure by a certificate holder to report to the Department any violation by another EMT of the good cause provisions of this section when the certificate holder knows or reasonably believes a violation has occurred.  
6.2.28	committing or permitting, aiding or abetting the commission of an unlawful act that substantially relates to performance of an EMT’s duties and responsibilities as determined by the Department.
6.3	Good cause for disciplinary sanctions also includes conviction of, or a plea of guilty, or of no contest, to a felony or misdemeanor that relates to the duties and responsibilities of an EMT, including patient care and public safety.  For purposes of this paragraph, “conviction” includes the imposition of a deferred sentence. 
6.3.1	The following crimes set forth in the Colorado Criminal Code (Title 18, C.R.S.) are considered to relate to the duties and responsibilities of an EMT:
A)	offenses under Article 3 – offenses against a person.
B)	offenses under Article 4 – offenses against property.
C)	offenses under Article 5 – offenses involving fraud.
D)	offenses under Article 6 – offenses involving the family relations.
E)	offenses under Article 6.5 – wrongs to at-risk adults.
F)	offenses under Article 7 – offenses related to morals.
G)	offenses under Article 8 – offenses – governmental operations.
H)	offenses under Article 9 – offenses against public peace, order and decency.
I)	offenses under Article 17 – Colorado Organized Crime Control Act.
J)	offenses under Article 18 – Uniform Controlled Substances Act of 1992.
6.3.2	The offenses listed above are not exclusive.  The Department may consider other pleas or criminal convictions, including those from other state, federal, foreign or military jurisdictions.
6.3.3	In determining whether to deny, revoke, suspend, modify or otherwise limit an EMT certificate or refuse to renew an EMT certificate based on a plea or on a felony or misdemeanor conviction, the Department may consider, but is not limited to, the following information:
A)	the nature and seriousness of the crime including but not limited to whether the crime involved violence to or abuse of another person and whether the crime involved a minor or a person of diminished capacity;
b)	the relationship of the crime to the purposes of requiring a certificate;
c)	the relationship of the crime to the ability, capacity or fitness required to perform the duties and discharge the responsibilities of an EMT; and
d)	the time frame in which the crime was committed.
6.4	Appeals
6.4.1	If the Department denies EMT certification, the Department shall provide the applicant with notice of the grounds for denial and shall inform the applicant of the applicant’s right to request a hearing.
A)	A request for a hearing shall be submitted to the Department in writing within sixty (60) calendar days from the date of the notice.
B)	If a hearing is requested, the applicant shall file an answer within sixty (60) calendar days from the date of the notice.  
C)	If a request for a hearing is made, the hearing shall be conducted in accordance with the State Administrative Procedure Act, Section 24-4-101 et seq., C.R.S.
D)	If the applicant does not request a hearing in writing within sixty (60) calendar days from the date of the notice, the applicant is deemed to have waived the opportunity for a hearing.
6.4.2	If the Department proposes to revoke, suspend, limit or otherwise modify a certificate, the Department shall notify the certificate holder by first class mail to the last address furnished to the Department by the certificate holder.  The notice shall state the alleged facts and/or conduct warranting the proposed action and state that the certificate holder may request a hearing.
A)	The certificate holder shall file a written answer within thirty (30) calendar days of the date of mailing of the notice.  
B)  	A request for a hearing shall be submitted to the Department in writing within thirty (30) calendar days from the date of mailing of the notice.
C)  	If a request for a hearing is made, the hearing shall be conducted in accordance with the State Administrative Procedure Act, Section 24-4-101 et seq., C.R.S.
D)  	If the certificate holder does not request a hearing in writing within thirty (30) calendar days of the date of mailing of the notice, the certificate holder is deemed to have waived the opportunity for a hearing.
6.4.3	If the Department summarily suspends a certificate, the Department shall provide the certificate holder notice of such in writing, which shall be sent by first class mail to the last address furnished to the Department by the certificate holder.  The notice shall state that the certificate holder is entitled to a prompt hearing on the matter.  The hearing shall be conducted in accordance with the State Administrative Procedure Act, Section 24-4-101, et seq., C.R.S.
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