PROFESSIONAL LICENSING APPEAL – FLORIDA

CAPTION

Before the Division of Administrative Hearings (DOAH) or [Agency] as applicable
[LICENSEE NAME], Petitioner,
v.
[AGENCY NAME], Respondent.

INTRODUCTION

• Challenge to [Denial/Discipline/Suspension/Revocation] of [License Type] dated [DATE].

JURISDICTION AND TIMELINESS

• Petition filed within statutory deadline (generally 21–30 days) under Fla. Stat. §§ 120.569 and 120.57 (or agency rule).
• Exhaustion satisfied; prior informal/formal hearing request noted.

VENUE / FORUM

• Division of Administrative Hearings (DOAH) or agency forum per Chapter 120; if judicial review later, follow § 120.68.

ISSUES PRESENTED

• [Issue 1]
• [Issue 2] (as needed)

STATEMENT OF FACTS

• Timeline of application/discipline, notices, and hearing findings.

ERRORS AND ARGUMENT

• Findings not supported by competent, substantial evidence.
• Errors of law/procedure contrary to [statute/rule cite].
• Due process deficiencies (notice, opportunity to be heard) if applicable.

RELIEF REQUESTED

• Reverse/modify the decision; reinstate or grant license; remand for further proceedings.
• Stay of enforcement requested [Yes/No].

EXHIBITS

• Agency order; hearing transcript excerpts; affidavits; key record exhibits.

SERVICE

• Serve agency and its counsel/AG as required by Chapter 120 and agency rules; include certificate of service.

SIGNATURE

[Name, Bar No.]
[Address, Email, Phone]
Counsel for [LICENSEE]