PROFESSIONAL LICENSING APPEAL – MICHIGAN

CAPTION

Before [Agency/Board or Circuit Court under APA]
[LICENSEE NAME], Petitioner,
v.
[AGENCY/BOARD NAME], Respondent.

INTRODUCTION

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

JURISDICTION AND TIMELINESS

• Filed within [time allowed—often 60 days] under the Michigan APA (MCL 24.301 et seq.) or applicable agency rule; exhaustion satisfied.

VENUE

• [Circuit Court] as provided by enabling statute/APA; confirm specific venue requirement.

ISSUES PRESENTED

• [Issue 1]
• [Issue 2] (as needed)

STATEMENT OF FACTS

• Chronology of application/discipline, notices, hearings, findings.

ERRORS AND ARGUMENT

• Decision unsupported by competent, material, and substantial evidence; arbitrary/capricious; errors of law under [cite].
• Due process concerns if notice/opportunity to be heard was deficient.

RELIEF REQUESTED

• Reverse/modify decision; reinstate/grant license; remand if necessary; stay requested [Yes/No].

EXHIBITS

• Determination/order; transcript excerpts; affidavits; key record exhibits.

SERVICE

• Serve agency and Attorney General as required by statute/court rules; include proof of service.

SIGNATURE

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