PETITION FOR JUDICIAL REVIEW OF ADMINISTRATIVE LICENSING DECISION

CAPTION

[APPROPRIATE Missouri COURT]
[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 Missouri APA (RSMo § 536.010 et seq.) and applicable licensing statutes.
• Petition timely under [licensing statute/agency rule].
• Administrative remedies exhausted.

PARTIES

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

PROCEDURAL HISTORY

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

STANDARD AND GROUNDS

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

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.

VERIFICATION AND SIGNATURE

• Verification as required; signature of Petitioner/counsel; proof of service on Respondent and Attorney General.