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 Washington Administrative Procedure Act (RCW 34.05.470) 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 (RCW 34.05.470)

• Error of law: [Describe].
• Material matter of fact: [Describe record evidence overlooked or misapplied].
• Newly discovered evidence: [Describe, attach].
• Changes in circumstances: [If applicable].

6. RELIEF REQUESTED

• Vacate or modify the [Decision/Order].
• Remand for further proceedings/hearing.
• 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).

8. VERIFICATION / SIGNATURE

• Signature block for Petitioner or counsel.