PETITION FOR RECONSIDERATION

1. PRELIMINARY STATEMENT

• Petitioner seeks reconsideration of the Agency's [Decision/Order] dated [DATE] concerning [subject].

2. JURISDICTION AND TIMELINESS

• Agency has authority to reconsider under the Kentucky Administrative Procedures Act (KRS Chapter 13B) and [specific regulation/citation].
• Petition filed within [X] days of service of the decision (deadline: [DATE]).

3. PARTIES

• Petitioner: [NAME/ENTITY]; role in proceeding.
• Agency/Respondent: [NAME].

4. PROCEDURAL HISTORY

• Summary of underlying proceeding, hearing date(s), and outcome.
• Decision/order served on [DATE]; this petition follows timely.

5. GROUNDS FOR RECONSIDERATION

• Error of law: [Describe].
• Findings unsupported by substantial evidence: [Describe record evidence].
• Newly discovered evidence not reasonably available at hearing: [Describe, attach].
• Material mistake/oversight: [Describe].
• Other statutory ground: [Cite/describe].

6. RELIEF REQUESTED

• Vacate or modify the [Decision/Order].
• Remand for further proceedings/hearing.
• Other relief authorized by the agency's rules: [Describe].
• Stay enforcement pending disposition (if allowed).

7. EXHIBITS

• Exhibit A: Decision/Order dated [DATE].
• Exhibit B: Hearing transcript/excerpts (if available).
• Exhibit C: Newly discovered evidence (if any).
• Exhibit D: Supporting declarations/brief.

8. VERIFICATION / SIGNATURE

• Signature block for Petitioner or counsel; verification if required by agency rule.

For Kentucky matters, confirm any statutory limits on reconsideration under KRS 13B.140 and whether agency rules require verification or sworn declarations.