PETITION FOR JUDICIAL REVIEW OF ADMINISTRATIVE LICENSING DECISION

CAPTION

STATE OF MINNESOTA, DISTRICT COURT, [COUNTY] COUNTY, [JUDICIAL DISTRICT] JUDICIAL DISTRICT
[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 Minnesota APA (Minn. Stat. § 14.001 et seq.) and applicable licensing statutes; venue proper in [County].
• Petition timely under [licensing statute/agency rule] (check specific statute for deadline).
• Administrative remedies exhausted.

PARTIES

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

• Review for abuse of discretion: decision not supported by findings, or findings not supported by substantial evidence.
• Errors of law, procedural defects, due process violations.
• [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.

RECORD AND PREPARATION

• Request preparation/certification of the administrative record per agency rule; Petitioner will arrange for record filing and pay costs as required.

VERIFICATION AND SIGNATURE

• Verification as required by Minnesota Rules of Civil Procedure; signature of Petitioner/counsel; proof of service on Respondent and Attorney General.