Professional Licensing Appeal - Illinois
Complaint for Administrative Review of a Professional Licensing Decision
IN THE CIRCUIT COURT OF [COUNTY] COUNTY, ILLINOIS
| Party | Role |
|---|---|
| [LICENSEE OR APPLICANT NAME] | Plaintiff |
| v. | Case No. [NUMBER] |
| [AGENCY NAME] | Defendant |
| [OTHER PARTIES OF RECORD, IF ANY] | Additional defendants |
Complaint for Administrative Review
Plaintiff [NAME] complains against defendants and states:
-
Plaintiff is [LICENSEE / APPLICANT] for [PROFESSION], license or application number [NUMBER]. Plaintiff's address is [ADDRESS].
-
Defendant [AGENCY NAME] made the final administrative decision identified below. Its main office address is [ADDRESS]. The other parties of record to the agency proceeding, if any, are [NAMES AND ADDRESSES OR "NONE"].
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The agency acted under [EXACT PROFESSION-SPECIFIC ACT AND SECTION]. That Act expressly adopts the Administrative Review Law at [EXACT ADOPTION SECTION]. This action seeks review under 735 ILCS 5/3-102.
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The agency issued its final decision on [__/__/____] in matter [AGENCY CASE NUMBER]. The decision [DESCRIBE THE LICENSE DENIAL, SUSPENSION, REVOCATION, CONDITION, OR OTHER ACTION]. Plaintiff seeks review of [ENTIRE DECISION / IDENTIFIED PART]. A copy is attached as Exhibit A.
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The decision was served on plaintiff on [__/__/____] by [METHOD]. It identifies [WHETHER IT IS FINAL AND SUBJECT TO ADMINISTRATIVE REVIEW] and [ANY REQUIRED RECONSIDERATION RULE]. Plaintiff [COMPLETED THE REQUIRED RECONSIDERATION STEP ON DATE / IDENTIFY WHY NO SUCH STEP APPLIES].
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Plaintiff files this complaint and requests issuance of summons within 35 days after service of the decision, under 735 ILCS 5/3-103. The filing date is [__/__/____]; the summons issuance date is [__/__/____].
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Venue is proper in [COUNTY] because [THE LICENSING ACT'S EXPRESS VENUE PROVISION AND FACTS / IF NONE, THE HEARING, SUBJECT MATTER, OR TRANSACTION LOCATION UNDER 735 ILCS 5/3-104]. The relevant location facts are [FACTS].
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Under 735 ILCS 5/3-108(a), plaintiff requests that the agency file [THE ENTIRE TRANSCRIPT OF EVIDENCE / SPECIFIED PART / NO TRANSCRIPT] as part of the record on review. The requested portion, if less than all, is [DESCRIPTION].
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Plaintiff challenges the decision on these specific grounds, based on the administrative record:
a. [IDENTIFY FINDING, LEGAL CONCLUSION, PROCEDURE, OR EXERCISE OF AUTHORITY AND EXPLAIN THE ALLEGED ERROR WITH RECORD REFERENCES.]
b. [IDENTIFY ANY ADDITIONAL GROUND AND RECORD REFERENCES, OR DELETE THIS PARAGRAPH.]
- Plaintiff requests review of the existing administrative record. Under 735 ILCS 5/3-110, the court does not hear new or additional evidence in support of or opposition to the agency's decision, and the agency's findings and conclusions on factual questions are prima facie true and correct.
WHEREFORE, plaintiff requests that the court review the identified final decision, [STATE THE SPECIFIC REQUESTED RESULT, INCLUDING REVERSAL OR REMAND IF SUPPORTED], and grant other relief authorized by the governing law.
Respectfully submitted,
Signature: [________________________________]
Printed name: [________________________________]
Attorney ARDC number, if applicable: [________________________________]
Address: [________________________________]
Telephone and email: [________________________________]
Date: [__/__/____]
Affidavit of defendants' last known addresses
I, [AFFIANT NAME], being first duly sworn, state that the following are the last known addresses of the defendants on whom summons shall be served, as required by 735 ILCS 5/3-105:
| Defendant | Last known address |
|---|---|
| [AGENCY NAME] | [MAIN OFFICE ADDRESS] |
| [OTHER PARTY OF RECORD OR "NONE"] | [ADDRESS] |
| [ADDITIONAL PARTY OF RECORD OR "NONE"] | [ADDRESS] |
I affirm that the addresses above are true to the best of my knowledge and belief.
Affiant signature: [________________________________]
Date: [__/__/____]
Subscribed and sworn before me on [__/__/____].
Notary signature: [________________________________]
Commission expires: [__/__/____]
About this template
- Last updated
- September 27, 2026
- Citations checked
- September 27, 2026
- Jurisdiction
- Illinois
- Category
- Administrative Law
Legal authority
- 735 ILCS 5/3-102
- 735 ILCS 5/3-103
- 735 ILCS 5/3-104
- 735 ILCS 5/3-105
- 735 ILCS 5/3-107(a)
- 735 ILCS 5/3-108(a)
- 735 ILCS 5/3-110
- 5 ILCS 100/10-50(b)
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.
Not legal advice
This template is provided for informational purposes. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Checked against the law it cites
A reviewer verified this template's legal citations against the official source on September 27, 2026.
735 ILCS 5/3-102 (checked September 27, 2026): "This Article III shall apply to and govern every action to review judicially a final decision of any administrative agency where the Act creating or conferring power on such agency, by express reference, adopts the provisions of this Article III or its predecessor, the Administrative Review Act."
735 ILCS 5/3-103 (checked September 27, 2026): "Every action to review a final administrative decision shall be commenced by the filing of a complaint and the issuance of summons within 35 days after the date that a copy of the decision sought to be reviewed was served upon the party affected by the decision"
735 ILCS 5/3-104 (checked September 27, 2026): "If the venue of the action to review a final administrative decision is expressly prescribed in the particular statute under authority of which the decision was made, such venue shall control"
735 ILCS 5/3-105 (checked September 27, 2026): "The plaintiff shall, by affidavit filed with the complaint, designate the last known address of each defendant upon whom service shall be made."
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