Document Transmittal Form printable pdf download

Document Transmittal Form

DOCUMENT TRANSMITTAL FORM

This form must be completed and submitted with each

document filed with the Editor of the State Register in the Legislative Council

1. Agency Name

2. Chapter Number

3. Date of Filing

4. Regulation Number

5. Subject of Regulation

6. Statutory Authority

7. Type of Filing

_________ NOTICE OF GENERAL PUBLIC INTEREST

_________ NOTICE OF DRAFTING

_________ PROPOSED REGULATION

_________ EMERGENCY REGULATION

_________ FINAL REGULATION FOR GENERAL ASSEMBLY REVIEW

_________ RESUBMISSION OF WITHDRAWN REGULATION FOR GENERAL ASSEMBLY REVIEW

_________ RESUBMISSION OF WITHDRAWN REGULATION FOR GENERAL ASSEMBLY REVIEW WITH NO SUBSTANTIVE

CHANGES

_________ FINAL REGULATION EXEMPT FROM GENERAL ASSEMBLY REVIEW

8. For Additional Information, Contact

9. Telephone Number

10. Typed Name of Official

11. Signature of Official

12. Date

SOUTH CAROLINA STATE REGISTER USE ONLY

13. For publication in SR Volume _____ Issue____

OFFICIAL FILING STAMP

Document Number ______

Verification:______

Document Transmittal Form