Louisiana Administrative Law

Administrative Hearing Request Packet - Louisiana

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LOUISIANA ADMINISTRATIVE HEARING REQUEST PACKET

Division of Administrative Law

PART I: REQUEST FOR ADMINISTRATIVE HEARING

DIVISION OF ADMINISTRATIVE LAW

STATE OF LOUISIANA

Docket No.: [________________________________]
(To be assigned by DAL)

SECTION 1: REQUESTING PARTY INFORMATION

Full Legal Name: [________________________________]

Mailing Address: [________________________________]

City: [________________________________] State: [____] ZIP: [__________]

Telephone: [________________________________]

Email Address: [________________________________]

Facsimile: [________________________________]

Party Type:
☐ Individual
☐ Corporation
☐ Limited Liability Company
☐ Partnership
☐ Government Entity
☐ Other: [________________________________]

Louisiana State ID/License No. (if applicable): [________________________________]

SECTION 2: REPRESENTATIVE INFORMATION (If Applicable)

Attorney/Representative Name: [________________________________]

Bar Roll Number (if attorney): [________________________________]

Firm/Organization: [________________________________]

Mailing Address: [________________________________]

City: [________________________________] State: [____] ZIP: [__________]

Telephone: [________________________________]

Email Address: [________________________________]

Facsimile: [________________________________]

SECTION 3: AGENCY INFORMATION

Agency Name: [________________________________]

Agency Contact/Representative: [________________________________]

Agency Address: [________________________________]

City: [________________________________] State: [____] ZIP: [__________]

Agency Telephone: [________________________________]

Agency Reference/Case Number: [________________________________]

SECTION 4: CHALLENGED ACTION

Type of Agency Action:
☐ License Denial
☐ License Revocation
☐ License Suspension
☐ Permit Denial
☐ Permit Revocation
☐ Benefits Denial
☐ Benefits Termination
☐ Civil Penalty Assessment
☐ Enforcement Action
☐ Substantiated Finding (Child Abuse/Neglect)
☐ Other: [________________________________]

Date of Agency Action/Decision: [__/__/____]

Date Notice Received: [__/__/____]

Agency Action Reference Number: [________________________________]

Brief Description of Challenged Action:

[________________________________]

SECTION 5: JURISDICTIONAL BASIS

Statutory Authority for Hearing Request:

☐ La. R.S. 49:955 (General Adjudication)
☐ La. R.S. 49:992 (Division of Administrative Law Jurisdiction)
☐ La. R.S. 30:2024 (Environmental Quality Act)
☐ La. R.S. 32:414 (Motor Vehicle Suspension)
☐ La. R.S. 46:1414.1 (DCFS Substantiated Findings)
☐ Other Statutory Authority: [________________________________]

Filing Deadline Calculation:

Date of Agency Action/Notice: [__/__/____]

Applicable Filing Period: [____] days

Filing Deadline: [__/__/____]

Date of This Filing: [__/__/____]

☐ This request is timely filed within the statutory deadline.

SECTION 6: GROUNDS FOR HEARING REQUEST

Statement of Issues:

Pursuant to La. R.S. 49:955(A)(4), the requesting party states the following matters at issue:

Issue 1: [________________________________]

[________________________________]

Issue 2: [________________________________]

[________________________________]

Issue 3: [________________________________]

[________________________________]

(Attach additional pages if necessary)

Factual Summary:

[________________________________]

Legal Arguments:

[________________________________]

SECTION 7: RELIEF REQUESTED

The requesting party respectfully requests the following relief:

☐ Reversal of agency action
☐ Modification of agency action as follows: [________________________________]
☐ Remand to agency for further proceedings
☐ Stay of agency action pending hearing (see Section 8)
☐ Award of attorney fees and costs pursuant to [________________________________]
☐ Other relief: [________________________________]

SECTION 8: REQUEST FOR STAY OF AGENCY ACTION

☐ A stay of the challenged agency action is requested pending resolution of this matter.

Grounds for Stay:

☐ Irreparable harm will result without a stay
☐ Strong likelihood of success on the merits
☐ Stay will not substantially harm other parties
☐ Stay serves the public interest

Supporting Facts:

[________________________________]

SECTION 9: VERIFICATION AND SIGNATURE

I, the undersigned, hereby verify under penalty of perjury that the statements made in this Request for Administrative Hearing are true and correct to the best of my knowledge, information, and belief.

Signature: ________________________________________ Date: [__/__/____]

Printed Name: [________________________________]

Title (if applicable): [________________________________]

PART II: PROCEDURAL CHECKLIST

PRE-FILING REQUIREMENTS

Deadline Verification

☐ Identified applicable statutory deadline for hearing request
☐ Confirmed deadline has not expired
☐ Calculated deadline correctly (typically 30 days from notice, varies by agency)

Document Assembly

☐ Completed hearing request form (Part I)
☐ Obtained copy of agency decision/notice being challenged
☐ Gathered supporting documentation
☐ Prepared certificate of service

Filing Preparation

☐ Made sufficient copies (original + copies for each party + personal copy)
☐ Prepared filing fee or fee waiver request (if applicable)
☐ Addressed envelope/prepared electronic submission

FILING REQUIREMENTS

Division of Administrative Law Contact Information

Physical Address:
Division of Administrative Law
1020 Florida Street
Baton Rouge, LA 70802

Mailing Address:
Division of Administrative Law
P.O. Box 44033
Baton Rouge, LA 70804-4033

Telephone: (225) 342-1800
Facsimile: (225) 342-1812

Acceptable Filing Methods (LAC 1:III.501)

☐ Hand Delivery - Filed on date received by Administrative Hearings Clerk
☐ U.S. Postal Mail - Deemed timely if postmarked by legal deadline
☐ Common Carrier - Deemed timely if postmarked by legal deadline
☐ Facsimile - Filed on date received
☐ Electronic Submission - Filed on date received

Filing Confirmation

☐ Obtained receipt/confirmation of filing
☐ Recorded docket number when assigned: [________________________________]
☐ Noted case assignment date: [__/__/____]

SERVICE REQUIREMENTS

Parties to Serve

Agency Counsel/Representative:

Name: [________________________________]

Address: [________________________________]

☐ Served via: [________________________________] Date: [__/__/____]

Other Parties (if applicable):

Name: [________________________________]

Address: [________________________________]

☐ Served via: [________________________________] Date: [__/__/____]

Certificate of Service

☐ Prepared and attached certificate of service
☐ Used acceptable service method (hand delivery, mail, electronic)
☐ Retained proof of service

POST-FILING PROCEDURES

Initial Case Management

☐ Monitor for scheduling order from ALJ
☐ Note prehearing conference date when scheduled: [__/__/____]
☐ Note hearing date when scheduled: [__/__/____]
☐ Calendar all deadlines

Discovery Planning (LAC 1:III.713)

☐ Identified discovery needs
☐ Prepared discovery requests (interrogatories, requests for production, depositions)
☐ Served discovery requests on opposing parties
☐ Calendared discovery response deadlines

Witness and Exhibit Preparation

☐ Identified potential witnesses
☐ Prepared subpoena requests if needed
☐ Organized exhibits for hearing
☐ Prepared exhibit list

PART III: AGENCY-SPECIFIC PROCEDURES

DEPARTMENT OF TRANSPORTATION AND DEVELOPMENT (DOTD)

Applicable Rules: LAC 70 (Transportation and Development)

Common Hearing Types:
☐ Outdoor Advertising Permit Appeals
☐ Contractor Prequalification Appeals
☐ Access Management Disputes
☐ Right-of-Way Acquisition Disputes

Filing Deadline: Generally 30 days from notice of adverse action

Special Requirements:
☐ Include DOTD project number (if applicable): [________________________________]
☐ Include permit number (if applicable): [________________________________]
☐ Attach relevant correspondence with DOTD
☐ Include maps/plans if relevant to dispute

DOTD Contact:
Louisiana Department of Transportation and Development
1201 Capitol Access Road
Baton Rouge, LA 70802
Telephone: (225) 379-1232

DEPARTMENT OF ENVIRONMENTAL QUALITY (DEQ)

Applicable Rules: LAC 33 (Environmental Quality); La. R.S. 30:2001 et seq.

Common Hearing Types:
☐ Permit Denial/Modification Appeal
☐ Enforcement Action Appeal
☐ Civil Penalty Assessment Appeal
☐ Compliance Order Appeal
☐ Variance Request Appeal

Filing Deadline: 30 days from notice of permit action (La. R.S. 30:2024(A))

Special Requirements:
☐ Identify specific permit provisions being appealed
☐ Only provisions specifically appealed are suspended
☐ State whether de novo review is requested under La. R.S. 30:2024(C)
☐ Include AI Number if applicable: [________________________________]

DEQ Contact:
Louisiana Department of Environmental Quality
Administrative Hearings Division
P.O. Box 4302
Baton Rouge, LA 70821-4302
Telephone: (225) 219-3985

Docket Filing:
☐ File with DEQ Administrative Hearings Clerk
☐ Case assigned docket number upon receipt
☐ Docket number required on all subsequent filings

DEPARTMENT OF CHILDREN AND FAMILY SERVICES (DCFS)

Applicable Rules: La. R.S. 46:1414.1; LAC 67 (Social Services)

Common Hearing Types:
☐ Substantiated Child Abuse/Neglect Finding Appeal
☐ SNAP Benefits Denial/Termination
☐ TANF Benefits Denial/Termination
☐ Child Care Assistance Appeals
☐ Medicaid Eligibility Appeals

Filing Deadline: 20 days from date of written notification letter (for substantiated findings after August 1, 2018)

Special Requirements:
☐ Use DCFS Investigative Finding Appeal form if available
☐ Include DCFS case number: [________________________________]
☐ State whether requesting confidentiality protections
☐ Identify specific findings being challenged

DCFS Appeal Filing:
Division of Administrative Law
DCFS Appeals Section
P.O. Box 44033
Baton Rouge, LA 70804-4033

DEPARTMENT OF PUBLIC SAFETY (DPS) / OFFICE OF MOTOR VEHICLES (OMV)

Applicable Rules: La. R.S. 32:414; LAC 55 (Public Safety)

Common Hearing Types:
☐ Driver's License Suspension Appeal
☐ Driver's License Revocation Appeal
☐ DWI Administrative Hearing
☐ Implied Consent Hearing
☐ Habitual Offender Determination

Filing Deadline: 30 days from date of arrest (DWI) or notice (other actions)

Special Requirements:
☐ Request must be in writing to DPS
☐ Include driver's license number: [________________________________]
☐ Include date of arrest (if applicable): [__/__/____]
☐ Request received within 30 days preserves driving privileges pending hearing

DPS/OMV Contact:
Department of Public Safety and Corrections
Office of Motor Vehicles
P.O. Box 64886
Baton Rouge, LA 70896
Telephone: (225) 925-6146

LOUISIANA WORKFORCE COMMISSION (LWC)

Applicable Rules: La. R.S. 23:1629 et seq.; LAC 40 (Labor and Employment)

Common Hearing Types:
☐ Unemployment Insurance Benefits Appeal
☐ Employer Tax Rate Appeal
☐ Overpayment Determination Appeal
☐ Eligibility Determination Appeal

Filing Deadline: Generally 15-30 days depending on action type

Special Requirements:
☐ Include claimant ID number: [________________________________]
☐ Include employer account number (if employer): [________________________________]
☐ State week(s) at issue
☐ Indicate whether represented by counsel

LOUISIANA DEPARTMENT OF HEALTH (LDH)

Applicable Rules: La. R.S. 46:153; LAC 50 (Public Health)

Common Hearing Types:
☐ Medicaid Fair Hearing Request
☐ Provider Enrollment Appeal
☐ Medicaid Overpayment Appeal
☐ Managed Care Organization Appeal
☐ Licensing Action Appeal

Filing Deadline: 30 days from mail date on written notice

Special Requirements:
☐ Complete Medicaid Recipient/Applicant Appeal form if applicable
☐ Include Medicaid ID number: [________________________________]
☐ Include provider NPI (if provider): [________________________________]
☐ State whether oral or written hearing preferred

LDH Fair Hearing Contact:
Division of Administrative Law
Health and Hospitals Section
P.O. Box 4189
Baton Rouge, LA 70821-4189
Telephone: (225) 342-0443
Facsimile: (225) 219-9823

LOUISIANA DEPARTMENT OF REVENUE (LDR)

Applicable Rules: La. R.S. 47:1565; LAC 61 (Revenue and Taxation)

Common Hearing Types:
☐ Tax Assessment Appeal
☐ Refund Denial Appeal
☐ Penalty Abatement Request
☐ Collection Action Appeal

Filing Deadline: 60 days from date of assessment (varies by tax type)

Special Requirements:
☐ Include taxpayer identification number: [________________________________]
☐ Include tax period(s) at issue: [________________________________]
☐ State amount in dispute: $[________________________________]
☐ Indicate whether requesting informal conference first

PART IV: DISCOVERY PROCEDURES

DISCOVERY RIGHTS (LAC 1:III.713)

Pursuant to LAC 1:III.713, any party may conduct discovery in any manner provided by Title III, Chapter 3 of the Louisiana Code of Civil Procedure.

Available Discovery Methods

☐ Interrogatories - Written questions to be answered under oath
☐ Requests for Production - Documents and tangible things
☐ Requests for Admission - Admissions of fact
☐ Depositions - Oral examination of witnesses
☐ Subpoenas Duces Tecum - Compel production of documents

DISCOVERY CHECKLIST

Planning Phase

☐ Identified information needed to support case
☐ Determined appropriate discovery methods
☐ Calculated discovery deadlines based on hearing date

Propounding Discovery

☐ Drafted discovery requests
☐ Served discovery on all parties
☐ Retained proof of service
☐ Calendared response deadline

Responding to Discovery

☐ Received discovery requests
☐ Reviewed requests for propriety
☐ Gathered responsive information
☐ Prepared responses within deadline
☐ Served responses on requesting party

PROTECTIVE ORDERS

When to File: Prior to date discovery response is due

Grounds for Protective Order:
☐ Discovery is overly broad or unduly burdensome
☐ Information sought is privileged
☐ Trade secrets or confidential business information
☐ Other: [________________________________]

Protective Order Request Checklist

☐ Drafted motion for protective order
☐ Identified specific discovery requests at issue
☐ Stated grounds with particularity
☐ Filed motion before response deadline
☐ Served motion on all parties

MOTIONS TO COMPEL

Filing Deadline: No less than 10 days before hearing on the merits (unless good cause shown)

Required Contents:
☐ Relevant portion of discovery request
☐ Relevant portion of discovery response (or statement of no response)
☐ Statement of deficiency
☐ Certificate of good faith conference

Motion to Compel Checklist

☐ Attempted informal resolution with opposing party
☐ Documented good faith efforts to resolve
☐ Filed motion at least 10 days before hearing
☐ Attached discovery requests and responses
☐ Served motion on all parties

SUBPOENAS (LAC 1:III.711)

Subpoena Request Checklist

☐ Completed DAL Subpoena Request Form
☐ Identified witness name and address
☐ Specified date, time, and location for appearance
☐ Specified documents/things to be produced (if subpoena duces tecum)
☐ Submitted request at least 10 days before required appearance

Subpoena Service

☐ Received signed subpoena from ALJ
☐ Arranged personal service on witness
☐ Filed proof of service with DAL

Note: Failure of witness to appear will not be grounds for continuance unless subpoena request was received by DAL at least 10 days before required appearance date.

PART V: PREHEARING CONFERENCE

PREHEARING CONFERENCE REQUIREMENTS (LAC 1:III.707)

Conference Scheduling

☐ Received notice of prehearing conference
☐ Conference Date: [__/__/____]
☐ Conference Time: [____:____] ☐ AM ☐ PM
☐ Conference Location/Method: [________________________________]

JOINT PROPOSED PREHEARING ORDER

Parties must submit a joint proposed prehearing order approved and signed by all parties or counsel of record.

Required Elements

Case Identification:

Docket Number: [________________________________]
Case Caption: [________________________________]
Scheduled Hearing Date: [__/__/____]

Party Information:

Petitioner/Appellant: [________________________________]
Respondent/Agency: [________________________________]
Intervenors (if any): [________________________________]

Factual Stipulations:
☐ Parties have conferred regarding stipulated facts
☐ List of stipulated facts attached
☐ List of disputed facts attached

Legal Issues:
☐ Statement of legal issues to be decided
☐ Applicable statutes and regulations identified
☐ Burden of proof identified

Witness Lists:
☐ Petitioner's witness list with summary of expected testimony
☐ Respondent's witness list with summary of expected testimony
☐ Expert witnesses identified with qualifications

Exhibit Lists:
☐ Petitioner's exhibit list with descriptions
☐ Respondent's exhibit list with descriptions
☐ Objections to exhibits noted

Estimated Hearing Duration: [________________________________]

Special Accommodations Required: [________________________________]

PREHEARING ORDER PREPARATION CHECKLIST

☐ Contacted opposing counsel/party to prepare joint order
☐ Exchanged proposed stipulations
☐ Exchanged witness and exhibit lists
☐ Identified areas of disagreement
☐ Prepared statement of opposition (if applicable)
☐ Obtained signatures of all parties/counsel
☐ Filed joint proposed order before prehearing conference

If Party Fails to Cooperate:
The ALJ may:
☐ Proceed with prehearing conference
☐ Sign prehearing order as drafted
☐ Continue the prehearing conference
☐ Continue the hearing
☐ Order such other action as necessary

PREHEARING CONFERENCE ATTENDANCE

Required Attendees:
☐ Person who certified the prehearing order
☐ Counsel or representative knowledgeable of all aspects of the case
☐ Person with authority to commit client to changes, stipulations, and hearing dates

Preparation for Conference:
☐ Reviewed all case documents
☐ Prepared to discuss scheduling issues
☐ Prepared to discuss discovery disputes
☐ Prepared to discuss potential settlement
☐ Brought calendar for scheduling

PART VI: MOTIONS PRACTICE

GENERAL MOTION REQUIREMENTS (LAC 1:III.709)

Filing Requirements

☐ All requests to ALJ made by written motion (unless during hearing/conference)
☐ Motion states grounds for request
☐ Motion describes action or order sought
☐ Copy served on all parties

Timing Requirements

☐ Filed at least 10 days prior to hearing (general motions)
☐ Filed as soon as need becomes reasonably foreseeable
☐ Filed no later than 5 days before hearing (continuances)

MOTION FOR CONTINUANCE (LAC 1:III.705)

Timing

☐ Filed no later than 5 days before hearing
☐ Filed as soon as need becomes known

Required Contents

☐ Number of prior continuances filed by this party
☐ Specific reasons for continuance request
☐ Three proposed alternative dates
☐ Statement whether opposing party objects
☐ Certificate of service

Filing Method

☐ Written motion transmitted by postal mail or electronic means
☐ Oral motion (only during hearing, for good cause)

IMPORTANT: A motion for continuance is NOT granted until ruled on by the ALJ. Case is subject to default or dismissal for failure to appear at scheduled hearing even if continuance motion is pending.

COMMON MOTION TYPES

Dispositive Motions

☐ Motion to Dismiss
☐ Motion for Summary Disposition
☐ Motion for Default Judgment

Procedural Motions

☐ Motion for Continuance
☐ Motion to Compel Discovery
☐ Motion for Protective Order
☐ Motion to Consolidate
☐ Motion to Sever
☐ Motion for Intervention

Evidentiary Motions

☐ Motion in Limine
☐ Motion to Exclude Expert Testimony
☐ Motion to Quash Subpoena

Post-Hearing Motions

☐ Motion for Rehearing (LAC 1:III.723)
☐ Motion to Reopen
☐ Motion to Reconsider

PART VII: HEARING PROCEDURES

PRE-HEARING PREPARATION

Document Preparation

☐ Organized all exhibits in logical order
☐ Prepared exhibit list with descriptions
☐ Made copies of all exhibits for ALJ, opposing party, and witnesses
☐ Tabbed and numbered exhibits
☐ Pre-marked exhibits (P-1, P-2 for Petitioner; R-1, R-2 for Respondent)

Witness Preparation

☐ Confirmed attendance of all witnesses
☐ Prepared direct examination outlines
☐ Anticipated cross-examination topics
☐ Ensured subpoenas served (if applicable)
☐ Arranged witness sequestration if needed

Legal Preparation

☐ Researched applicable law and regulations
☐ Prepared opening statement
☐ Prepared closing argument outline
☐ Assembled copies of relevant statutes/regulations
☐ Prepared proposed findings of fact and conclusions of law

DAY OF HEARING

Arrival Checklist

☐ Arrive at least 30 minutes early
☐ Check in with Administrative Hearings Clerk
☐ Confirm hearing room location
☐ Arrange seating for witnesses
☐ Set up exhibits and documents

Required Items

☐ Multiple copies of all exhibits
☐ Exhibit list
☐ Witness list
☐ Copy of prehearing order
☐ Applicable statutes and regulations
☐ Legal pad and writing instruments
☐ Business cards (for exchanging with ALJ and opposing counsel)

EVIDENCE RULES (LAC 1:III.721; La. R.S. 49:956)

Admissibility Standard

Evidence admissible if it possesses probative value commonly accepted by reasonably prudent persons in the conduct of their affairs.

Grounds for Exclusion

☐ Incompetent evidence
☐ Irrelevant evidence
☐ Immaterial evidence
☐ Unduly repetitious evidence

Rules of Privilege

☐ Attorney-client privilege applies
☐ Work product doctrine applies
☐ Other statutory privileges recognized

Official Notice (La. R.S. 49:956)

☐ ALJ may take notice of generally recognized technical or scientific facts
☐ Parties must be notified of materials noticed
☐ Opportunity to contest noticed materials provided

HEARING CONDUCT

Opening Statements

☐ Brief overview of case
☐ Identify key witnesses and exhibits
☐ State relief sought

Presentation of Evidence

☐ Petitioner/Appellant presents case first
☐ Direct examination of witnesses
☐ Tender exhibits through witnesses
☐ Respondent cross-examines
☐ Redirect examination if needed

Respondent's Case

☐ Direct examination of agency witnesses
☐ Tender agency exhibits
☐ Petitioner cross-examines
☐ Redirect examination if needed

Closing Arguments

☐ Summarize key evidence
☐ Apply facts to law
☐ Request specific relief

PART VIII: POST-HEARING PROCEDURES

RECORD REQUIREMENTS (La. R.S. 49:955(E))

The adjudication record shall contain:
☐ All pleadings, motions, and intermediate rulings
☐ All evidence received (or summary if not transcribed)
☐ All matters officially noticed
☐ All offers of proof, objections, and rulings thereon
☐ All proposed findings and exceptions
☐ Decision, opinion, or report of presiding officer

POST-HEARING SUBMISSIONS

Proposed Findings and Conclusions

☐ Submit proposed findings of fact
☐ Submit proposed conclusions of law
☐ File within deadline set by ALJ
☐ Serve on all parties

Post-Hearing Briefs (if ordered)

☐ Brief filed within deadline
☐ Addresses legal issues identified at hearing
☐ Cites to hearing transcript and exhibits
☐ Served on all parties

DECISION AND ORDER

Receipt of Decision

☐ Decision received from ALJ
☐ Date of Decision: [__/__/____]
☐ Decision reviewed with client

Deadlines from Decision

☐ Calculate deadline for rehearing motion
☐ Calculate deadline for judicial review
☐ Calendar all applicable deadlines

MOTION FOR REHEARING/REOPENING (LAC 1:III.723)

Grounds for Rehearing:
☐ Newly discovered evidence
☐ Error of law
☐ Error of fact
☐ Other good cause: [________________________________]

Filing Deadline: [________________________________] (check applicable statute/rule)

Rehearing Motion Checklist

☐ Identify specific grounds for rehearing
☐ Attach any newly discovered evidence
☐ File within applicable deadline
☐ Serve on all parties

JUDICIAL REVIEW

Applicable Statute: La. R.S. 49:964

Filing Deadline: Generally 30 days from mailing of final decision

Court of Competent Jurisdiction: [________________________________]

Judicial Review Checklist

☐ Timely file petition for judicial review
☐ Request preparation of administrative record
☐ Arrange for record transmission to court
☐ File brief in accordance with court rules

PART IX: CERTIFICATE OF SERVICE

CERTIFICATE OF SERVICE

I hereby certify that on [__/__/____], a true and correct copy of the foregoing [________________________________] was served upon all parties of record by the method(s) indicated below:

Party 1:

Name: [________________________________]

Address: [________________________________]

[________________________________]

Method of Service:
☐ Hand Delivery
☐ U.S. First Class Mail, postage prepaid
☐ Certified Mail, Return Receipt Requested
☐ Facsimile to: [________________________________]
☐ Electronic Mail to: [________________________________]

Party 2:

Name: [________________________________]

Address: [________________________________]

[________________________________]

Party 3:

Name: [________________________________]

Address: [________________________________]

[________________________________]

Signature: ________________________________________

Printed Name: [________________________________]

Date: [__/__/____]

PART X: EXHIBIT LIST TEMPLATE

EXHIBIT LIST

Case Caption: [________________________________]

Docket Number: [________________________________]

Party Submitting: ☐ Petitioner/Appellant ☐ Respondent/Agency ☐ Intervenor

Exhibit No.	Description	Date	Pages	Offered	Admitted	Objection
[____]	[________________________________]	[__/__/____]	[____]	☐	☐	[________________________________]
[____]	[________________________________]	[__/__/____]	[____]	☐	☐	[________________________________]
[____]	[________________________________]	[__/__/____]	[____]	☐	☐	[________________________________]
[____]	[________________________________]	[__/__/____]	[____]	☐	☐	[________________________________]
[____]	[________________________________]	[__/__/____]	[____]	☐	☐	[________________________________]
[____]	[________________________________]	[__/__/____]	[____]	☐	☐	[________________________________]
[____]	[________________________________]	[__/__/____]	[____]	☐	☐	[________________________________]
[____]	[________________________________]	[__/__/____]	[____]	☐	☐	[________________________________]
[____]	[________________________________]	[__/__/____]	[____]	☐	☐	[________________________________]
[____]	[________________________________]	[__/__/____]	[____]	☐	☐	[________________________________]

PART XI: WITNESS LIST TEMPLATE

WITNESS LIST

Case Caption: [________________________________]

Docket Number: [________________________________]

Party Submitting: ☐ Petitioner/Appellant ☐ Respondent/Agency ☐ Intervenor

Witness 1

Name: [________________________________]

Address: [________________________________]

Telephone: [________________________________]

Relationship to Case: [________________________________]

Summary of Expected Testimony:

[________________________________]

☐ Fact Witness ☐ Expert Witness

Expert Qualifications (if applicable): [________________________________]

Witness 2

Name: [________________________________]

Address: [________________________________]

Telephone: [________________________________]

Relationship to Case: [________________________________]

Summary of Expected Testimony:

[________________________________]

☐ Fact Witness ☐ Expert Witness

Expert Qualifications (if applicable): [________________________________]

Witness 3

Name: [________________________________]

Address: [________________________________]

Telephone: [________________________________]

Relationship to Case: [________________________________]

Summary of Expected Testimony:

[________________________________]

☐ Fact Witness ☐ Expert Witness

Expert Qualifications (if applicable): [________________________________]

Witness 4

Name: [________________________________]

Address: [________________________________]

Telephone: [________________________________]

Relationship to Case: [________________________________]

Summary of Expected Testimony:

[________________________________]

☐ Fact Witness ☐ Expert Witness

Expert Qualifications (if applicable): [________________________________]

APPENDIX A: IMPORTANT DEADLINES SUMMARY

COMMON FILING DEADLINES BY AGENCY

Agency	Action Type	Deadline	Authority
General	Administrative Hearing Request	30 days from notice	La. R.S. 49:955
DPS/OMV	DWI Administrative Hearing	30 days from arrest	La. R.S. 32:668
DCFS	Substantiated Finding Appeal	20 days from notice	La. R.S. 46:1414.1
DEQ	Permit Appeal	30 days from notice	La. R.S. 30:2024(A)
LDH	Medicaid Fair Hearing	30 days from notice	42 CFR 431.221
LDR	Tax Assessment Appeal	60 days from assessment	La. R.S. 47:1565
LWC	Unemployment Appeal	15 days from determination	La. R.S. 23:1629

PROCEDURAL DEADLINES

Action	Deadline	Authority
Motion for Continuance	5 days before hearing	LAC 1:III.705
General Motions	10 days before hearing	LAC 1:III.709
Motion to Compel	10 days before hearing	LAC 1:III.713
Subpoena Request	10 days before appearance	LAC 1:III.711
Opposition to Intervention	10 days after service	LAC 1:III.703
Case Abandonment	3 years of inactivity	LAC 1:III.725

APPENDIX B: DAL CONTACT INFORMATION BY SECTION

DIVISION OF ADMINISTRATIVE LAW SECTIONS

Main Office:
Division of Administrative Law
1020 Florida Street
Baton Rouge, LA 70802
Telephone: (225) 342-1800
Facsimile: (225) 342-1812

Health and Hospitals Section:
P.O. Box 4189
Baton Rouge, LA 70821-4189
Telephone: (225) 342-0443
Facsimile: (225) 219-9823

DCFS Appeals:
P.O. Box 44033
Baton Rouge, LA 70804-4033

Administrative Hearings Clerk:
Susan Crumholt (or current designee)
Custodian of Records
Telephone: (225) 342-1800

PRACTICE NOTE: Always verify current contact information, filing addresses, and procedural requirements directly with the Division of Administrative Law or the relevant agency before filing. Rules and procedures may change, and agency-specific requirements may supplement or supersede general DAL procedures.

Ezel AI

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About This Template

Administrative law covers how you interact with government agencies, from filing a comment on a proposed rule to appealing a denied license or benefit. Agency processes have their own forms, deadlines, and evidence standards that are different from what courts use. Getting the paperwork wrong usually means missing a deadline or losing the right to appeal, so precision in these documents matters as much as it does in a courtroom filing.

Important Notice

This template is provided for informational purposes. It is not legal advice. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.

Last updated: February 2026