Form of notice of suspension or revocation for point accumulation

The notice of suspension or revocation of a license for point accumulation will contain the following information: (1) the anticipated action and the basis for that action; (2) a list, including date of occurrence, of each offense computed under the proposed action; (3) the number of points assessed for each offense; (4) the number of points deducted, if any, from the person's assessed total.