PETITION FOR JUDICIAL REVIEW OF LICENSING DECISION

CAPTION

DISTRICT COURT OF LOUISIANA, [PARISH] PARISH
[PETITIONER/LICENSEE], Petitioner,
v.
[AGENCY/BOARD NAME], Respondent.
Case No.: [___]

INTRODUCTION

• Petition for judicial review challenging Respondent's [Denial/Discipline/Suspension/Revocation] of [License Type] issued [DATE].

JURISDICTION, VENUE, AND TIMELINESS

• Jurisdiction under the Louisiana Administrative Procedure Act (La. R.S. 49:964); venue proper in [Parish].
• Petition timely under La. R.S. 49:964 (30 days from mailing or service of final agency decision).
• Administrative remedies exhausted.

PARTIES

• Petitioner [Name], license number [___].
• Respondent [Agency/Board], state agency located in [Parish/City].

PROCEDURAL HISTORY

• Summary of accusation/notice, hearing date(s), ALJ proposed decision, Board adoption/modification, and service of final decision on [DATE].

STANDARD AND GROUNDS (La. R.S. 49:964)

• The court may reverse or modify the agency decision if: (1) substantial rights of the appellant have been prejudiced because the decision is in violation of constitutional or statutory provisions; (2) in excess of statutory authority; (3) made upon unlawful procedure; (4) affected by error of law; (5) arbitrary or capricious; or (6) not supported by competent, material, and substantial evidence.
• [Tailor to record].

ALLEGATIONS (SUMMARY)

• [Facts showing evidentiary gaps, legal errors, bias, or procedural defects].

RELIEF REQUESTED

• Issue order directing Respondent to vacate the decision and [reinstate license/issue license/remand].
• Stay enforcement pending review.
• Costs and other relief as just.

VERIFICATION AND SIGNATURE

• Verification per applicable Louisiana rules; signature of Petitioner/counsel; proof of service on Respondent and Attorney General.